Two cases of acute aortic dissection following preeclampsia in non-Marfan patients

Chin Med J (Engl). 2012 Jun;125(11):2073-5.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Dissecting / diagnosis*
  • Aneurysm, Dissecting / etiology*
  • Female
  • Humans
  • Pre-Eclampsia / physiopathology*
  • Pregnancy
  • Pregnancy Complications, Cardiovascular