{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:22:16Z","timestamp":1761110536592,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,12,13]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Aortic dissection is characterised by a tear in the intimal and medial layers of the endovascular aortic wall which propagates distally. Here, we discuss the case of a 35-year-old woman who was 37 weeks pregnant and presented with dizziness and blurred vision. She had a history of a neonatal end-to-end repair of a coarctation of aorta, a known bicuspid aortic valve and a dilated ascending aorta under surveillance. A transthoracic echocardiogram revealed an ascending aortic dissection. An emergency CT aortogram was performed which confirmed the diagnosis. The patient underwent emergency caesarean section and aortic surgery, with a good outcome for mother and baby. The case highlights the atypical nature of presentation and the absence of haemodynamic instability. Atypical and unexplained symptoms on a background of congenital heart disease should trigger a referral to cardiology with thorough investigation, often with echocardiography, to exclude rare and life-threatening complications.<\/jats:p>","DOI":"10.1136\/bcr-2019-233367","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T04:15:57Z","timestamp":1577679357000},"page":"e233367","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Ascending aortic dissection in a pregnant patient with neonatally repaired coarctation of aorta and bicuspid aortic valve"],"prefix":"10.1136","volume":"12","author":[{"given":"Mark Philip","family":"Cassar","sequence":"first","affiliation":[{"name":"Cardiology, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asad","family":"Shabbir","sequence":"additional","affiliation":[{"name":"Cardiology, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Orchard","sequence":"additional","affiliation":[{"name":"Cardiology, John Radcliffe Hospital, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Stirrup","sequence":"additional","affiliation":[{"name":"Cardiology, Royal Berkshire NHS Foundation Trust, Reading, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,29]]},"reference":[{"key":"2025082722081103000_12.12.e233367.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"2025082722081103000_12.12.e233367.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-008318","article-title":"Aortic dissection in pregnancy in England: an incidence study using linked national databases","volume":"5","author":"Banerjee","year":"2015","journal-title":"BMJ Open"},{"key":"2025082722081103000_12.12.e233367.3","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000130644.78677.2C"},{"key":"2025082722081103000_12.12.e233367.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(98)70039-0"},{"key":"2025082722081103000_12.12.e233367.5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi338"},{"key":"2025082722081103000_12.12.e233367.6","doi-asserted-by":"publisher","DOI":"10.4065\/79.10.1252"},{"key":"2025082722081103000_12.12.e233367.7","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1253\/circj.CJ-10-0183","article-title":"Painless acute aortic dissection. - Diagnostic, prognostic and clinical implications","volume":"75","author":"Imamura","year":"2011","journal-title":"Circ J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:08:19Z","timestamp":1756357699000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":7,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2019,12,29]]},"published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1136\/bcr-2019-233367"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233367","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,12]]}}}