Author(s): Barroso, Daniela ; Santos, Sérgio ; Tomás, Ana Sofia ; Castro, Heloísa ; Pinheiro Vieira, António
Date: 2023
Persistent ID: http://hdl.handle.net/10400.16/2926
Origin: Repositório Científico da Unidade Local de Saúde de Santo António (ULSSA)
Subject(s): aortic dissection; cardiac tamponade; case report; emergent perimortem cesarean delivery;; pregnancy
Aortic dissection is the acute aortic syndrome with the highest mortality, and pregnancy and arterial hypertension are known risk factors. Its association with the perinatal period is a particularly unique and potentially devastating clinical catastrophe which is why the approach to a pregnant woman in cardiorespiratory arrest (CRA) should be multidisciplinary and early, with extraction of the fetus ideally within five minutes after the arrest. We present the case of a 39-year-old pregnant woman, who presented with a cardiorespiratory arrest in the context of an aortic dissection with cardiac tamponade and the need for an urgent perimortem cesarean section. Increasing knowledge and understanding among healthcare professionals has the potential to aid in the early detection and effective treatment of this challenging medical issue.
