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

IF 0.5

A&A Practice Pub Date : 2023-02-01 DOI:10.1213/XAA.0000000000001629

Mercades A Meuli, Anne Shapiro, Brett H Cronin, Kelsey A Pinson, Erin I Martin

引用次数: 0

Abstract

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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无结缔组织疾病的产后急性主动脉夹层1例报告。

A型急性主动脉夹层是一种罕见的危及生命的事件，最常见于妊娠晚期或产后早期以及结缔组织疾病的妇女。然而，本病例描述了一名无结缔组织疾病史的子痫前期妇女在产后第2天诊断出的a型主动脉夹层。该病例强调了在任何抱怨胸痛的产妇中考虑剥离的重要性，特别是在高血压和新的杂音的背景下。紧急成像必须考虑减少延迟手术修复，并尽量减少产妇发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.