Echocardiography diagnosis of pregnancy with aortic dissection: a case report

Abstract Background: We report a case of 34 weeks + gestation with aortic dissection to explore the diagnosis and treatment of this type of pregnant woman and to reduce maternal mortality. Case presentation: This report describes the clinical manifestations of a case of late pregnancy with acute aortic dissection (Stanford A Type). Echocardiography was used to detect the location of the rupture, the extent of exfoliation, the true and false lumen, the presence or absence of thrombus in the false lumen, the degree of aortic regurgitation, etc. After the diagnosis, the patients received surgical treatment as soon as possible. The detection rate and type diagnosis accuracy of ultrasonography for pregnancy complicated with aortic dissection are reliable. The location of the intimal rupture by ultrasound was consistent with the intraoperative findings, and there were no recent complications in the mother and newborn. Conclusion: The third trimester of pregnancy with aortic dissection is dangerous. As a simple, safe and non-invasive method, echocardiography has high clinical value in the diagnosis of pregnant patients with aortic dissection.