Acute Type A Aortic Dissection in a 37-Week Pregnant Patient: An Unusual Clinical Presentation
| Autor: | Seoung Won Choi, Hye-Jin Kim, Sun Hwa Lee, Seokyong Ryu, Myounghwan Kim, Euy Suk Chung, Tae Kyug Kang, Sung Chan Oh, Jae-Hoon Lee, Suk Jin Cho |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Point-of-Care Systems Population 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors medicine Back pain Humans Family history Risk factor education Ultrasonography Aortic dissection education.field_of_study Aortic Aneurysm Thoracic business.industry Pain Perception Emergency department medicine.disease Connective tissue disease Abdominal Pain Surgery Aortic Dissection 030228 respiratory system cardiovascular system Emergency Medicine Female medicine.symptom Emergency Service Hospital Tomography X-Ray Computed business |
| Zdroj: | The Journal of Emergency Medicine. 52:565-568 |
| ISSN: | 0736-4679 |
| Popis: | Background Aortic dissection in pregnancy is relatively rare, but it is often fatal. The estimated incidence of aortic dissection in the general population is 2.9 per 100,000 person-years. Early recognition and treatment of aortic dissections are crucial for survival. Whereas the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, or a family history of aortic dissection are also at increased risk for developing this condition. Case Report We report the successful diagnosis and surgical repair of an acute type A aortic dissection in a 35-year-old woman who presented to the emergency department (ED) at 37 weeks of gestation. Why Should an Emergency Physician Be Aware of This? Emergency physicians should be alert to the possibility of aortic dissection in any pregnant woman who presents to the ED with unexplained chest, abdominal, or back pain, even those without risk factors for aortic dissection. |
| Databáze: | OpenAIRE |
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