Obstet Gynecol Sci.  2016 Sep;59(5):403-406. 10.5468/ogs.2016.59.5.403.

Aortic dissection accompanied by preeclampsia in a postpartum young woman

• Park JW
• Kim SM
• Yu GB
• Kang YD

• KMID: 2391692
• DOI: http://doi.org/10.5468/ogs.2016.59.5.403

Abstract

Aortic dissection is very rare in obstetrics, but it is a fatal disease. A 37-weeks primigravida woman with dyspnea and pitting edema presented to our emergency room. The patient was diagnosed with preeclampsia and underwent an emergency cesarean section under spinal anesthesia. The patient complained of severe dyspnea after the cesarean section, and the chest computed tomography scan was done. With the finding of aortic dissection, cardiopulmonary arrest occurred 5 hours after the cesarean section, and the patient died without reaction to cardio-pulmonary resuscitation. If a patient with preeclampsia complains of severe dyspnea or chest pain, aortic dissection needs to be suspected and a diagnosis should not be delayed.

Keyword

Aortic dissection; Pre-eclampsia; Pregnancy

MeSH Terms

Anesthesia, Spinal
Cardiopulmonary Resuscitation
Cesarean Section
Chest Pain
Diagnosis
Dyspnea
Edema
Emergencies
Emergency Service, Hospital
Female
Heart Arrest
Humans
Obstetrics
Postpartum Period*
Pre-Eclampsia*
Pregnancy
Thorax