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Case Reports in Emergency Medicine
Volume 2013, Article ID 390670, 3 pages
Case Report

Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

Department of Emergency Medicine, Summa Akron City Hospital, 525 East Market Street, Akron, OH 44309, USA

Received 29 March 2013; Accepted 15 May 2013

Academic Editors: R. Alaghehbandan, W. Mauritz, V. Papadopoulos, and A. Tinelli

Copyright © 2013 Erol Kohli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.