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BJA Advance Access published online on January 7, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei071
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005
Accepted November 22, 2004

Case Report

Peripartum presentation of an acute aortic dissection

S. Lewis 1*, I. Ryder 1, and A. T. Lovell 1

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

* To whom correspondence should be addressed.
S. Lewis, E-mail: slewis{at}talk21.com


  Abstract

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.

Keywords: arteries, aortic dissection; monitoring, echocardiography; pregnancy.
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