Marfan's syndrome: acute aortic dissection during labor, resulting in fetal distress and cesarean section, followed by successful surgical repair.
A unique case of Marfan's syndrome is presented in which the diagnosis was first established during early labor when the patient presented with chest pain, hypotension, and fetal distress as the earliest symptoms and signs. Prompt diagnosis in combination with correct medical and surgical therapy resulted in the survival of both the mother and infant.
D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001027:Aortography; D001919:Bradycardia / Q000209:etiology; D002585:Cesarean Section; D004562:Electrocardiography; D005260:Female; D005316:Fetal Distress / Q000209:etiology*; D005318:Fetal Heart / Q000503:physiopathology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008382:Marfan Syndrome / Q000175:diagnosis*; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*