Bogaert Kelly, Christensen Kyrstin, Cagliostro Matthew, Ferrara Lauren
Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA
Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
BMJ Case Rep. 2020 Sep 15;13(9):e238370. doi: 10.1136/bcr-2020-238370.
Aortic dissection and rupture is a rare occurrence in pregnant and postpartum patients. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. The patient underwent emergent caesarean delivery for non-reassuring fetal heart tracing, following which continued syncope workup revealed an aortic aneurysm and pericardial effusion. Diagnosis in this case was finalised with multimodality imaging, including transthoracic echocardiogram, and the patient underwent surgical aortic repair.
主动脉夹层和破裂在妊娠及产后患者中较为罕见。本病例讨论了一名妊娠38周时发生急性局限性胸主动脉瘤破裂患者的临床表现及诊断过程，该患者在新冠疫情期间出现咽痛和晕厥后就诊。患者因胎儿心率监护情况不佳接受了急诊剖宫产，之后持续的晕厥检查发现了主动脉瘤和心包积液。通过包括经胸超声心动图在内的多模态影像学检查最终确诊，患者接受了主动脉手术修复。
