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Spontaneous Acute Aortic Dissection in Pregnancy: Report of a Case Devoid of Known Risk Factors

Nath, Dhritiman MD*; Vaideeswar, Pradeep MD; Rojekar, Amey MD; Vaz, Walter MD*

The American Journal of Forensic Medicine and Pathology: June 2013 - Volume 34 - Issue 2 - p 103–106
doi: 10.1097/PAF.0b013e31828879ff
Case Reports

Acute aortic dissection in pregnancy is a rare condition with a potentially catastrophic outcome. The low rate of incidence together with variable presenting features in such circumstances makes diagnosis elusive. A high degree of clinical suspicion and diagnostic acumen is especially required in pregnant women without any history of connective tissue disorder, congenital aortic valvular malformation, or chronic hypertension. In this report, we present a case of aortic dissection with multiple aortic intimal tears in a medicolegal autopsy of a young pregnant woman who developed circulatory collapse and died during labor.

From the *Department of Forensic Medicine, and †Cardiovascular and Thoracic Division, Seth GS Medical College, Mumbai, India.

Manuscript received May 14, 2012; accepted December 5, 2012.

The authors report no conflicts of interest.

Reprints: Pradeep Vaideeswar, MD, Cardiovascular and Thoracic Division, Department of Pathology, Seth GS Medical College, Parel, Mumbai 400 012, India. E-mail: shreeprajai@yahoo.co.in.

© 2013 Lippincott Williams & Wilkins, Inc.