Diagnosis and treatment of pregnancy concurrent with asymptomatic aortic dissection

Abstract

Background: Aortic dissection (AD) refers to false lumen dissected from true lumen via the internal membrane when endovascular blood flows into the aortic wall through the cleavage, which is formed after endomembrane gape of the aortic wall. Aortic dissection is a disease of extreme danger. Pregnancy is an independent risk factor for aortic dissection. Pregnancy concurrent with aortic dissection rarely is seen, not to mention pregnancy concurrent with asymptomatic aortic dissection. Case report: We present the case of a 34-year-old female patient, who was 25+ weeks pregnant, concurrent with aortic dissection. She was accepted by our hospital and successfully treated. Retrospective analysis of clinical data was carried out in this paper by combining related literature. Conclusion: This disease should be correctly straightened out to prevent misdiagnosis and save the patient’s life. Multidisciplinary joint decisions should be made to save lives of the patient and her fetus.