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

AANA Journal

Volumn 74, Issue 6, 2006, Pages 440-444

  Wooley II, John G ^a,b   Redmon, Valerie Wynn ^a,c   Groom, Jeffery ^a,d  

^a Anesthesia Associates of Tallahassee ^*

^b Eye Associates at Tallahassee   (United States)

^c UNIVERSITY OF FLORIDA   (United States)

^d FLORIDA INTERNATIONAL UNIVERSITY   (United States)

Author keywords

Anesthesia; Aortic dissection; Parturient; Pregnancy; Thoracic

Indexed keywords

ACETYLSALICYLIC ACID; ETOMIDATE; FUROSEMIDE; METHYLDOPA; METOPROLOL; MIDAZOLAM; MORPHINE SULFATE; OXYGEN; POTASSIUM; SEVOFLURANE; SUXAMETHONIUM; VECURONIUM;

ADULT; ANESTHESIA INDUCTION; AORTA DISSECTION; CASE REPORT; CHILDBIRTH; DISEASE CLASSIFICATION; DRUG DOSE TITRATION; EPIGASTRIC PAIN; FATALITY; FEMALE; GENERAL ANESTHESIA; HEMODYNAMICS; HOSPITAL ADMISSION; HUMAN; HYPERTENSION; INTENSIVE CARE UNIT; MEDICAL LITERATURE; NEWBORN DEATH; NURSE ANESTHETIST; PREGNANCY COMPLICATION; PROFESSIONAL KNOWLEDGE; REVIEW; RISK FACTOR; SYMPTOMATOLOGY; THORAX PAIN; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 33845456076     PISSN: 00946354     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (17)

1. Mandel W, Evans WE, Walford RL. Dissecting aortic aneurysm during pregnancy. N Engl J Med. 1954;251:1059-1061.
2. Peclowitz P, Perell A. Aneurysms complicated by pregnancy. Am J Obstet Gynecol. 1957;73:720-735.
3. Immer FF, Bansi AG, Immer-Bansi AS, et al. Aortic dissection in pregnancy. Ann Thorac Surg. 2003;76:309-314.
4. Ohlson L. Effects of pregnant uterus on the abdominal aorta and its branches. Acta Radiol Diagn. 1978;19:369-376.
5. Manallo-Estrella P, Barker AE. Histopathologic findings in human aortic media associated with pregnancy. Arch Pathol. 1967;83:336-341.
6. Pyeritz RE. Maternal and fetal complications of pregnancy in the Marfan syndrome. Am J Med. 1981;71:784-790.
7. Schoen FJ, Cotran RS. Blood vessels. In: Cotran RS, Kumar V, Collins T, eds. Pathologic Basis of Disease. 6th ed. Philadelphia, Pa: WB Saunders Co; 1999:528.
8. Karliner JS. Stable and unstable angina pectoris: diagnosis and treatment. In: Chizner MA, ed. Classic Teachings in Clinical Cardiology. Fairfield, NJ: Laennec Publishing, Inc; 1996:788.
9. Skeehan TM, Cooper JR. Anesthetic management for thoracic aneurysms and dissections. In: Hensley FA, Martin DE, Gravlee GP, eds. A Practical Approach to Cardiac Anesthesia. Philadelphia, Pa: Lippincott Williams & Wilkins; 2003:623.
10. Nienaber CA, Von Kodolitsch Y, Nicolas V, et al. The diagnosis of thoracic aortic dissection by noninvasive procedures. N Engl J Med. 1993;328:1-9.
11. DeSanctis RW, Doroghazi RM, Austen WG, Buckley MJ. Aortic dissection. N Engl J Med. 1987;317:1060-1066.
12. Lewis PE, Cefalo RC, Naulty JS, Rodkey FL. Placental transfer and fetal toxicity of sodium nitroprusside. Gynecol Invest. 1977;8:46-49.
13. Briggs GG, Freeman RK, Yaffe SJ. Drugs in Pregnancy and Lactation. Baltimore, Md: Williams and Wilkins; 1994:476-479.
14. Cotton DB, Longmire S, Jones MM, Dorman KF, Tessem J, Joyce TH III. Cardiovascular alterations in severe pregnancy-induced hypertension: effects of intravenous nitroglycerin coupled with blood volume expansion. Am J Obstet Gynecol. 1986;154:1053-1059.
15. Elatrous S, Nouira S, Ouanes Besbes L, et al. Short term treatment of severe hypertension of pregnancy: prospective comparison of nicardipine and labetalol. Intensive Care Med. 2002;28:1281-1286.
16. Jayaram A, Carp HM, Davis L, Jacobson SL. Pregnancy complicated by aortic dissection: caesarean delivery during extradural anaesthesia. Br J Anaesth. 1995;75:358-360.
17. American Association of Nurse Anesthetists. Qualifications and Capabilities of the Certified Registered Nurse Anesthetist. Available at: http//:www.aana.com/qualifications.aspx. Accessed June 14, 2005.