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Eur J Cardiothorac Surg 2007;32:541-543. doi:10.1016/j.ejcts.2007.05.030
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Metachronous type III and type II acute aortic dissections in puerperium

Marc A. Radermeckera,*, Rodolphe Durieuxa, Jean-Luc Canivetb, Raymond Limeta

a Department of Cardiovascular and Thoracic Surgery, University Hospital of Liège, CHU du Sart-Tilman, 4000 Liège, Belgium
b Department of Anesthesiology and Intensive Care, University Hospital of Liège, CHU du Sart-Tilman, 4000 Liège, Belgium

Received 8 March 2007; received in revised form 7 May 2007; accepted 11 May 2007.

* Corresponding author. Address: Department of Cardiovascular and Thoracic Surgery, CHU du Sart-Tilman, 4000 Liège, Belgium. Tel.: +32 4 366 71 63; fax: +32 4 366 71 64. (Email: mradermecker{at}chu.ulg.ac.be).

The case of a 30-year-old non-Marfan woman who developed a type III acute aortic dissection 5 days after delivery, followed within 16 h by an independent type II dissection, is reported. Preoperative CT scan imaging and TEE suggested metachronous type II and type III dissection. This was confirmed at surgery, where limited dissection of the aortic root without communication with the isthmic area via the aortic arch was evidenced. The patient underwent repair of the aortic root and adjacent ascending aorta and was medically treated for her type III dissection. This is the first report of metachronous acute aortic dissections in puerperium.

Key Words: Aortic dissection • Pregnancy • Great vessels






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.