Two cases of acute aortic dissection following preeclampsia in non-Marfan patients.
- Author:
Jian HUANG
1
;
Hui LIU
;
Yi-Ling DING
Author Information
1. Department of Obstetrics and Gynecology, Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. huangjian2566@hotmail.com
- Publication Type:Case Reports
- MeSH:
Adult;
Aneurysm, Dissecting;
diagnosis;
etiology;
Female;
Humans;
Pre-Eclampsia;
physiopathology;
Pregnancy;
Pregnancy Complications, Cardiovascular
- From:
Chinese Medical Journal
2012;125(11):2073-2075
- CountryChina
- Language:English
-
Abstract:
Aortic dissection accompanying with preeclampsia during pregnancy can be lethal to both the mother and the fetus and carries a high mortality. Of the 2 preeclampsia patients with aortic dissection, one was Type B aortic dissection, occurring in postpartum period. The patient was treated medically and underwent catheter-based stent-graft treatment with fenestration technique. Another patient was Type A acute dissection, occurring in the third trimester. This patient was undiagnosed and both died. Although extremely rare, aortic dissection might be a possibility in preeclampsia pregnant women, the differential diagnosis of chest and/or epigastric pain in preeclampia patient should be thoroughly investigated and treated.
