Peripartum presentation of an acute aortic dissection.
We report the case of an acute type A aortic dissection occurring in a 35-year-old parturient. The initial diagnosis was missed; a subsequent emergency Caesarean section 3 weeks after presentation was followed by the development of left ventricular failure and pulmonary oedema in the early postoperative period. Echocardiography confirmed the diagnosis of aortic dissection and the patient underwent a successful surgical repair.
Lewis
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Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary, Bristol, UK. slewis@talk21.com
Ryder
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Lovell
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D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002585:Cesarean Section; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging; D020521:Stroke / Q000175:diagnosis