Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic.
Kelly C BogaertKyrstin ChristensenMatthew CagliostroLauren FerraraPublished in: BMJ case reports (2020)
Aortic dissection and rupture is a rare occurrence in pregnant and postpartum patients. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. The patient underwent emergent caesarean delivery for non-reassuring fetal heart tracing, following which continued syncope workup revealed an aortic aneurysm and pericardial effusion. Diagnosis in this case was finalised with multimodality imaging, including transthoracic echocardiogram, and the patient underwent surgical aortic repair.
Keyphrases
- aortic dissection
- case report
- aortic aneurysm
- end stage renal disease
- preterm infants
- pulmonary embolism
- heart failure
- chronic pain
- pregnant women
- left ventricular
- risk assessment
- liver failure
- newly diagnosed
- spinal cord
- chronic kidney disease
- atrial fibrillation
- intensive care unit
- pain management
- single cell
- peritoneal dialysis
- patient reported outcomes
- photodynamic therapy
- drug induced