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25 September 2023: Articles

Life-Threatening Aortic Dissection during Pregnancy: A Case Report of Undiagnosed FBN1-Related Marfan Syndrome at 39 Weeks Gestation

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease

Carmelina Gurrieri A* , Westley T. Manske A , Carla Williams A , Joseph C. Wildenberg A , Rachel J. Keppers B , Tiziano Tallarita B , Nishant Saran A , Andrew D. Calvin A

DOI: 10.12659/AJCR.940628

Am J Case Rep 2023; 24:e940628

Figure 1. Chest computed tomography scan with contrast. (A) Sagittal chest computed tomography scan with contrast administration timed to evaluate the pulmonary arteries. No pulmonary embolic disease was detected. Higher density of blood along the aortic arch and descending aorta (arrows) was appreciated. The fetus was intentionally not imaged to minimize radiation exposure. (B) Axial chest computed tomography scan with contrast administration timed to evaluate the pulmonary arteries showing the true lumen of the descending aorta dissection (star).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923