Fedriga E, Salvadè P, Gordini V
Servizio di Radiologia, Centro a. de Gasperis, Ospedale Niguarda cà Granda, Milano.
G Ital Cardiol. 1992 Dec;22(12):1423-6.
Aortic dissection in young women without Marfan disease is unusual. When it occurs it is often related to pregnancy. We report a fatal case of aortic dissection in a 29-year-old woman at the end of her first pregnancy. A prompt diagnosis and surgical treatment usually permits the physician to save both mother and fetus. In this case the delay in the diagnosis was fatal for both. We retain that knowledge of this rare complication of pregnancy is useful in order to refer patients early for surgical treatment.
无马凡综合征的年轻女性发生主动脉夹层并不常见。当这种情况发生时，通常与妊娠有关。我们报告一例29岁女性在首次妊娠末期发生主动脉夹层并致死的病例。及时诊断和手术治疗通常能使医生挽救母亲和胎儿。在本病例中，诊断延误对两者都造成了致命后果。我们认为了解这种罕见的妊娠并发症知识有助于早期转诊患者进行手术治疗。
