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Korean Journal of Obstetrics & Gynecology 2005;48(8):1962-1966.
Published online August 1, 2005.
A Case of Aortic Dissection in Pregnancy.
Yong In Kim, Young Joon Kang, Jin Joo Kim, Ki Cheul Noh, Tae Kyo Chung, Hyuk Jun Yang, Ji Hyun Kim, Ji Seong Lee
1Department of Emergency Medicine, Gachon Medical School, Gil Medical Center, Incheon, Korea.
2Department of Obstetrics and Gynecology, Gachon Medical School, Gil Medical Center, Incheon, Korea. dongwook@ghil.com
Abstract
Aortic dissection during pregnancy is rare, but is life-threatening event for both the mother and the fetus. Depending on the type of dissection, surgical or medical treatment can be performed. The attempt of cesarean section delivery is determined by gestational age. We experienced a case of aortic dissection at 32 weeks of gestation. The type of dissection was DeBakey type III and was managed medically. Under general anesthesia, cesarean delivery was performed at 35 week's gestation. In pregnant patients complaining of chest or abdominal pain not related to labor, the suspicion of aortic dissection is important for prompt diagnosis and better prognosis.
Key Words: Aortic dissection, Pregnancy


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