title: Two cases of acute aortic dissection following preeclampsia in non-Marfan patients.
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.
authors.affiliation: Department of Obstetrics and Gynecology, Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China. huangjian2566@hotmail.com
authors.forename: Jian
authors.initials: J
authors.lastname: Huang
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.forename: Yi-Ling
authors.initials: YL
authors.lastname: Ding
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000503:physiopathology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular