Lethal aortic dissection in a 33-week parturient: A case report

John G. Wooley, Valerie Wynn Redmon, Jeffery Groom

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Aortic dissection is a rare and potentially lethal complication of pregnancy. After an extensive review of the currently available medical journal databases, a lack of information on aortic dissection in parturients was identified within the US anesthesia literature. A 33-week parturient with chronic hypertension was admitted to an urban medical center with severe epigastric and chest pain. During a 24-hour hospital course, the patient was found to have a Type I (DeBakey) aortic dissection, which proved to be fatal. Because the nurse anesthetist may often be the primary or sole anesthesia provider, it is imperative that he or she become familiar with the signs, symptoms, predisposing factors, and treatment of this potentially lethal complication of pregnancy. It is our desire to expand the body of nurse anesthesia knowledge through review of this tragic case.

Original languageEnglish (US)
Pages (from-to)440-444
Number of pages5
JournalAANA journal
Volume74
Issue number6
StatePublished - Dec 1 2006
Externally publishedYes

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Keywords

  • Anesthesia
  • Aortic dissection
  • Parturient
  • Pregnancy
  • Thoracic

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing
  • Anesthesiology and Pain Medicine

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