Acute aortic dissection associated with left ventricular dysfunction in a postpartum and normotensive young woman

Tung Han Hsieh, Ting-Hsing Chao, Chih Jan Chang, Jyh Hong Chen

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Aortic dissection is uncommon in young women and is associated with clinical conditions such as pregnancy and Marfan's syndrome. Owing to the low incidence, diagnosis of acute aortic dissection in young women might be missed or delayed in patients who have neither risk factors nor typical clinical manifestations. We report the case of a 28-year-old postpartum woman with aortic dissection. The patient complained of abdominal discomfort, transient back pain, and general malaise at our emergency department 1 week after delivery of a healthy baby. She had no history of hypertension, connective tissue disease or congenital heart disease. Cardiovascular insult was not considered until the patient developed shock. Myocarditis or peripartum cardiomyopathy with left ventricular dysfunction was diagnosed based on imaging studies and cardiac enzyme levels. Finally, computed tomography revealed acute aortic dissection after hemodynamic collapse occurred. This case suggests that acute aortic dissection can be associated with left ventricular dysfunction, and non-specific clinical symptoms in young, normotensive, and postpartum women. A high index of clinical suspicion and alertness are needed to identify this condition.

Original languageEnglish
Pages (from-to)331-333
Number of pages3
JournalJournal of the Formosan Medical Association
Volume102
Issue number5
Publication statusPublished - 2003 May 1

Fingerprint

Left Ventricular Dysfunction
Postpartum Period
Dissection
Peripartum Period
Marfan Syndrome
Connective Tissue Diseases
Myocarditis
Back Pain
Cardiomyopathies
Hospital Emergency Service
Heart Diseases
Shock
Hemodynamics
Tomography
Hypertension
Pregnancy
Incidence
Enzymes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{24af248633cf404dadaacdc649cd982b,
title = "Acute aortic dissection associated with left ventricular dysfunction in a postpartum and normotensive young woman",
abstract = "Aortic dissection is uncommon in young women and is associated with clinical conditions such as pregnancy and Marfan's syndrome. Owing to the low incidence, diagnosis of acute aortic dissection in young women might be missed or delayed in patients who have neither risk factors nor typical clinical manifestations. We report the case of a 28-year-old postpartum woman with aortic dissection. The patient complained of abdominal discomfort, transient back pain, and general malaise at our emergency department 1 week after delivery of a healthy baby. She had no history of hypertension, connective tissue disease or congenital heart disease. Cardiovascular insult was not considered until the patient developed shock. Myocarditis or peripartum cardiomyopathy with left ventricular dysfunction was diagnosed based on imaging studies and cardiac enzyme levels. Finally, computed tomography revealed acute aortic dissection after hemodynamic collapse occurred. This case suggests that acute aortic dissection can be associated with left ventricular dysfunction, and non-specific clinical symptoms in young, normotensive, and postpartum women. A high index of clinical suspicion and alertness are needed to identify this condition.",
author = "Hsieh, {Tung Han} and Ting-Hsing Chao and Chang, {Chih Jan} and Chen, {Jyh Hong}",
year = "2003",
month = "5",
day = "1",
language = "English",
volume = "102",
pages = "331--333",
journal = "Journal of the Formosan Medical Association",
issn = "0929-6646",
publisher = "Excerpta Medica Asia Ltd.",
number = "5",

}

Acute aortic dissection associated with left ventricular dysfunction in a postpartum and normotensive young woman. / Hsieh, Tung Han; Chao, Ting-Hsing; Chang, Chih Jan; Chen, Jyh Hong.

In: Journal of the Formosan Medical Association, Vol. 102, No. 5, 01.05.2003, p. 331-333.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Acute aortic dissection associated with left ventricular dysfunction in a postpartum and normotensive young woman

AU - Hsieh, Tung Han

AU - Chao, Ting-Hsing

AU - Chang, Chih Jan

AU - Chen, Jyh Hong

PY - 2003/5/1

Y1 - 2003/5/1

N2 - Aortic dissection is uncommon in young women and is associated with clinical conditions such as pregnancy and Marfan's syndrome. Owing to the low incidence, diagnosis of acute aortic dissection in young women might be missed or delayed in patients who have neither risk factors nor typical clinical manifestations. We report the case of a 28-year-old postpartum woman with aortic dissection. The patient complained of abdominal discomfort, transient back pain, and general malaise at our emergency department 1 week after delivery of a healthy baby. She had no history of hypertension, connective tissue disease or congenital heart disease. Cardiovascular insult was not considered until the patient developed shock. Myocarditis or peripartum cardiomyopathy with left ventricular dysfunction was diagnosed based on imaging studies and cardiac enzyme levels. Finally, computed tomography revealed acute aortic dissection after hemodynamic collapse occurred. This case suggests that acute aortic dissection can be associated with left ventricular dysfunction, and non-specific clinical symptoms in young, normotensive, and postpartum women. A high index of clinical suspicion and alertness are needed to identify this condition.

AB - Aortic dissection is uncommon in young women and is associated with clinical conditions such as pregnancy and Marfan's syndrome. Owing to the low incidence, diagnosis of acute aortic dissection in young women might be missed or delayed in patients who have neither risk factors nor typical clinical manifestations. We report the case of a 28-year-old postpartum woman with aortic dissection. The patient complained of abdominal discomfort, transient back pain, and general malaise at our emergency department 1 week after delivery of a healthy baby. She had no history of hypertension, connective tissue disease or congenital heart disease. Cardiovascular insult was not considered until the patient developed shock. Myocarditis or peripartum cardiomyopathy with left ventricular dysfunction was diagnosed based on imaging studies and cardiac enzyme levels. Finally, computed tomography revealed acute aortic dissection after hemodynamic collapse occurred. This case suggests that acute aortic dissection can be associated with left ventricular dysfunction, and non-specific clinical symptoms in young, normotensive, and postpartum women. A high index of clinical suspicion and alertness are needed to identify this condition.

UR - http://www.scopus.com/inward/record.url?scp=0141762609&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141762609&partnerID=8YFLogxK

M3 - Article

C2 - 12874672

AN - SCOPUS:0141762609

VL - 102

SP - 331

EP - 333

JO - Journal of the Formosan Medical Association

JF - Journal of the Formosan Medical Association

SN - 0929-6646

IS - 5

ER -