{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T04:56:40Z","timestamp":1754110600857,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T00:00:00Z","timestamp":1560988800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,6,20]]},"abstract":"<jats:p><jats:italic>Background. <\/jats:italic>An aortic dissection is a life-threatening condition in which the intima of the artery tears causing separation of the intima and media. Pregnancy places women at a significantly increased risk of common vascular events including venous thromboembolism, myocardial infarction, and stroke, while also increasing the risk of rarer vascular events such as aortic dissection and aortic rupture.<jats:italic> Case. <\/jats:italic> A 30-year-old previously healthy multiparous woman presenting at 36 weeks of pregnancy with a Type A aortic dissection. She underwent a combined emergent cesarean delivery followed by repair of her aortic root.<jats:italic> Conclusions. <\/jats:italic>Aortic dissection should be high on the differential for pregnant patients presenting with the characteristic complaints and physical exam findings given the high mortality rate associated with this vascular event.<jats:italic> Teaching Points.<\/jats:italic> (1) This report reviews the characteristic presentation, risk factors, and physical exam findings in a patient with an aortic dissection. (2) The report includes treatment options for pregnant patients based on the classification of the dissection.<\/jats:p>","DOI":"10.1155\/2019\/1583509","type":"journal-article","created":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T19:30:34Z","timestamp":1561059034000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["Aortic Dissection in a Pregnant Patient without Other Risk Factors"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4008-597X","authenticated-orcid":true,"given":"Priya V.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raanan","family":"Alter","sequence":"additional","affiliation":[{"name":"Department of Gynecology Oncology, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-8937","authenticated-orcid":true,"given":"Recia","family":"Frenn","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thaddeus P.","family":"Waters","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.03.054"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1177\/089719009300600408"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(12)60563-4"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1177\/1753944708090830"},{"journal-title":"Aortic Diseases","first-page":"55","year":"2009","key":"1"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.08.089"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2011.5.2257"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/1583509.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/1583509.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/1583509.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,20]],"date-time":"2019-06-20T19:30:35Z","timestamp":1561059035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2019\/1583509\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,20]]},"references-count":8,"alternative-id":["1583509","1583509"],"URL":"https:\/\/doi.org\/10.1155\/2019\/1583509","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"type":"print","value":"2090-6684"},{"type":"electronic","value":"2090-6692"}],"subject":[],"published":{"date-parts":[[2019,6,20]]}}}