Aortic dissection in childbirth as a cause of maternal mortality
https://doi.org/10.17749/2313-7347/ob.gyn.rep.2022.281
Abstract
Introduction. Aortic dissection (AD) is a rare and extremely dangerous pathology in obstetrics and gynecology. AD frequency in pregnant women comprises only 14.5 cases per 1 million subjects and leads to maternal death in 30 % cases. AD is characterized by the difficulty in performing differential diagnostics.
Aim: to describe a clinical case demonstrating the difficulties in timely AD diagnostics and treatment during delivery.
Materials and Methods. A rare clinical case of asymptomatic AD resulting in death of the woman in labor is presented after assessing the patient medical history, the conclusion of the pathoanatomical examination and the protocol of the mortality review.
Results. The presented AD clinical case in labor with subtle clinical symptoms demonstrate the extreme difficulty of timely diagnostics of this pathology for practitioners, which inevitably resulted in maternal mortality.
Conclusion. AD during pregnancy and labor is the condition with extremely rare and difficult diagnostics, high probability of maternal and perinatal mortality, which should be known and remembered by obstetrician-gynecologists.
About the Authors
T. Yu. Babich
Georgievsky Medical Academy, Vernadsky Crimean Federal University; Semashko Republican Clinical Hospital
Russian Federation
Russian Federation
Tatiana Yu. Babich – MD, Dr Sci Med, Associate Professor, Professor, Department of Obstetrics, Gynecology and Perinatology № 1; Head of Simulation and Training Center
5/7 Lenin Boulevard, Simferopol, Republic of Crimea 295006, Russia
8 Semashko Str., Simferopol, Republic of Crimea 295026, Russia
A. N. Sulima
Georgievsky Medical Academy, Vernadsky Crimean Federal University; Simferopol Clinical Maternity Hospital № 1
Russian Federation
Russian Federation
Anna N. Sulima – MD, Dr Sci Med, Professor, Department of Obstetrics, Gynecology and Perinatology № 1; Obstetrician-Gynecologist
5/7 Lenin Boulevard, Simferopol, Republic of Crimea 295006, Russia
8 Vorovsky Str., Simferopol, Republic of Crimea 295017, Russia
V. V. Voronaya
Georgievsky Medical Academy, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
Viktoriya V. Voronaya – MD, PhD, Assistant, Department of Obstetrics, Gynecology and Perinatology № 1
5/7 Lenin Boulevard, Simferopol, Republic of Crimea 295006, Russia
N. A. Kalinina
Georgievsky Medical Academy, Vernadsky Crimean Federal University
Russian Federation
Russian Federation
Natalia A. Kalinina – MD, Clinical Resident, Department of Obstetrics, Gynecology and Perinatology № 1
5/7 Lenin Boulevard, Simferopol, Republic of Crimea 295006, Russia
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Review
For citations:
Babich T.Yu., Sulima A.N., Voronaya V.V., Kalinina N.A. Aortic dissection in childbirth as a cause of maternal mortality. Obstetrics, Gynecology and Reproduction. 2022;16(4):493-500. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2022.281
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