title: Pregnancy after a previous gestation complicated by an   acute aortic dissection.
abstract: Acute aortic dissection is a rare life-threatening event. No further pregnancies in women who had a previous acute aortic dissection have been reported. We present the case of a chronic hypertensive woman, who in her previous gestation was submitted to an acute aortic dissection repair at 28 weeks of gestation with cesarean delivery at the same operative procedure. The index pregnancy was uneventful. An elective cesarean was performed at 33 weeks' gestation. Aneurysm expansion, rupture or redissections are potential complications of operated aortic dissection. Normal blood pressure values and close cardiologic and obstetrical follow-up are essential to obtain a favourable outcome.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Santa Maria University Hospital, Lisbon, Portugal. rodriguescatia@gmail.com
authors.forename: Cátia
authors.initials: C
authors.lastname: Rodrigues
authors.forename: Luísa
authors.initials: L
authors.lastname: Pinto
authors.forename: Nuno
authors.initials: N
authors.lastname: Clode
authors.forename: Ana G
authors.initials: AG
authors.lastname: Almeida
authors.forename: Conceição
authors.initials: C
authors.lastname: Cardoso
authors.forename: Luís M
authors.initials: LM
authors.lastname: Graça
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000534:rehabilitation* / Q000601:surgery; D001014:Aortic Aneurysm / Q000534:rehabilitation* / Q000601:surgery; D002585:Cesarean Section / Q000534:rehabilitation; D005260:Female; D020073:Gravidity; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000534:rehabilitation* / Q000601:surgery; D011256:Pregnancy Outcome