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BJA Advance Access originally published online on January 7, 2005
British Journal of Anaesthesia 2005 94(4):496-499; doi:10.1093/bja/aei071
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions{at}oupjournals.org

OBSTETRIC ANAESTHESIA: Case Report

Peripartum presentation of an acute aortic dissection

S. Lewis*, I. Ryder and A. T. Lovell

Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary, Bristol, UK

* Corresponding author. E-mail: slewis{at}talk21.com

We report the case of an acute type A aortic dissection occurring in a 35-year-old parturient. The initial diagnosis was missed; a subsequent emergency Caesarean section 3 weeks after presentation was followed by the development of left ventricular failure and pulmonary oedema in the early postoperative period. Echocardiography confirmed the diagnosis of aortic dissection and the patient underwent a successful surgical repair.


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