Non‐<scp>M</scp>arfan Aortopathies and the Pregnant Patient

Bois, John P.; Connolly, Heidi M.

doi:10.1002/9781119409861.ch20

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2023

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“…5 Women with an aortic root diameter of >4.0 cm, history of previous dissection, coarctation of the aorta, hypertension, and drug abuse are also predisposed to aortic dissections. 6 What is less understood is the risk of aortic dissection in pregnant patients in the absence of risk factors. Our patient denied a history of connective tissue disorder, had a normal trileaflet aortic valve, and did not have a dilated aortic root on previous imaging.…”

Section: Discussionmentioning

confidence: 99%

Postpartum Acute Aortic Dissection in a Patient Without a Connective Tissue Disorder: A Case Report

et al. 2023

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Type A acute aortic dissection is a rare life-threatening event that occurs most commonly in the third trimester or early postpartum and in women with connective tissue disorders. However, this case describes a type A aortic dissection diagnosed on postpartum day 2 in a woman with preeclampsia without a history of a connective tissue disease. The case emphasizes the importance of considering dissection in any parturient complaining of chest pain, especially in the setting of hypertension and a new murmur. Emergent imaging must be considered to decrease delays in surgical repair and to minimize maternal morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%