Aortic dissection accompanied by preeclampsia in a postpartu
Aortic dissection is uncommon, but it is a life-threatening disease. Aortic dissection is difficult to distinguish from other heart or lung diseases, because it appears with a variety of symptoms. An accurate diagnosis is made only in 60% to 70% of hospitalized patients at an early stage.
Acute aortic dissection can occur with the connective tissues disorders, such as high blood pressure disorder during pregnancy, including preeclampsia, coarctation of aorta, and Marfan's syndrome. Particularly, obstetricians have difficulties in making a diagnosis because aortic dissection in pregnancy happens very rarely. The majority of patients complain of typical chest pain, but this clinical symptom masks the underlying left ventricular dysfunction.
It has been reported in the literature review that deaths occurred by the rupturing of aortic dissection, which was suddenly outbroken after a cesarean section of the patients who were diagnosed with preelcampsia.
Case report
A 19-year-old primigravida woman at 37-weeks gestation with lower abdominal pain, dyspnea, and pitting edema presented to the emergency room at Dankook University Hospital. She had received a prenatal management at a local clinic, and there were no abnormal findings including the past medical history and family history. A headache or the right upper abdominal pain was not observed at her admission to the hospital....