Salman Zahid, Syed Shahmeer Raza, Arsalan Ali Shah, Maham Khan, Osamah Riaz Khan, Zaina Jamali, Riaz Anwar Khan.
Pregnant lady with Marfan syndrome presenting with aortic dissection.
Pak Heart J Jan ;50(3):197-8.

Both the fetus and mother are under tremendous life threatening stress in case of an aortic dissection during pregnancy. We present case of a 25 years old diagnosed case of Marfan Syndrome primigravida at 29 weeks of gestation. The patient was referred from a clinic due to nausea, vomiting and dyspnea. Aortic dissection ( AD) was evident upon Echocardiography. The patient was under observation when she suddenly developed jaw, chest and back pain. Her first degree relative (father) had died due to an AD at the age of 25. The patient was resuscitated and all possible medical efforts were taken along side an emergency cesarean section but the patient died soon after the delivery. Awareness needs to be raised in such medical cases and a clinical approach needs to be developed for critical care of pregnant patients. Proper surgical techniques and use of better medical technology are required to make and early diagnosis. Further studies/case reports around the world would assert our findings and lead to better treatment options.

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