Maternal death secondary to a dissecting aneurysm of the pulmonary artery

Gary Hankins, A. L. Brekken, L. M. Davis

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

True aneurysms of the pulmonary artery are most frequently associated with congenital heart lesions that have led to sustained high pulmonary artery flow rates and pulmonary hypertension. A maternal death secondary to a dissecting aneurysm of the pulmonary artery is presented. Death occurred 17 hours postpartum, and the acute dissection may have been precipitated by the high flow rates accompanying parturition or, alternatively, by the Valsalva maneuver. The authors suggest a baseline chest radiograph and electrocardiogram in all women with known or suspected congenital heart disease to evaluate for pulmonary hypertension and pulmonary artery aneurysms. The occurrence of symptoms such as dyspnea or chest pain warrants repeat evaluation with strong consideration being given to right heart catheterization and pulmonary angiography. If a dissecting aneurysm is diagnosed, then emergency surgical repair seems warranted in view of the rapidity with which this condition progresses to death.

Original languageEnglish (US)
JournalObstetrics and Gynecology
Volume65
Issue number3 SUPPL.
StatePublished - 1985
Externally publishedYes

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Dissecting Aneurysm
Maternal Death
Pulmonary Artery
Pulmonary Hypertension
Aneurysm
Valsalva Maneuver
Cardiac Catheterization
Chest Pain
Dyspnea
Postpartum Period
Dissection
Heart Diseases
Angiography
Electrocardiography
Emergencies
Thorax
Parturition
Lung

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Hankins, G., Brekken, A. L., & Davis, L. M. (1985). Maternal death secondary to a dissecting aneurysm of the pulmonary artery. Obstetrics and Gynecology, 65(3 SUPPL.).

Maternal death secondary to a dissecting aneurysm of the pulmonary artery. / Hankins, Gary; Brekken, A. L.; Davis, L. M.

In: Obstetrics and Gynecology, Vol. 65, No. 3 SUPPL., 1985.

Research output: Contribution to journalArticle

Hankins, G, Brekken, AL & Davis, LM 1985, 'Maternal death secondary to a dissecting aneurysm of the pulmonary artery', Obstetrics and Gynecology, vol. 65, no. 3 SUPPL..
Hankins, Gary ; Brekken, A. L. ; Davis, L. M. / Maternal death secondary to a dissecting aneurysm of the pulmonary artery. In: Obstetrics and Gynecology. 1985 ; Vol. 65, No. 3 SUPPL.
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