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Unusual association of diseases/symptoms
Case report
Contained aortic rupture in a term pregnant patient during the COVID-19 pandemic
  1. Kelly Bogaert1,
  2. Kyrstin Christensen1,
  3. Matthew Cagliostro2 and
  4. Lauren Ferrara3,4
  1. 1Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA
  2. 2Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
  3. 3Department of Maternal Fetal Medicine, Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
  4. 4Department of Obstetrics and Gynecology, NYC Health and Hospitals Elmhurst, Elmhurst, New York, USA
  1. Correspondence to Dr Kelly Bogaert; kelly.bogaert{at}mountsinai.org

Abstract

Aortic dissection and rupture is a rare occurrence in pregnant and postpartum patients. This case discusses the presentation and diagnosis of a patient with an acute contained thoracic aortic aneurysm rupture at 38 weeks of gestation, after presenting with throat pain and syncope during the COVID-19 pandemic. The patient underwent emergent caesarean delivery for non-reassuring fetal heart tracing, following which continued syncope workup revealed an aortic aneurysm and pericardial effusion. Diagnosis in this case was finalised with multimodality imaging, including transthoracic echocardiogram, and the patient underwent surgical aortic repair.

  • pregnancy
  • cardiovascular medicine

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-238370

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    Footnotes

    • KB and KC are joint first authors.

    • Contributors KB and KC contributed equally as first author to the paper. KB, KC and MC all participated in the patient’s care. All authors contributed to the writing of the manuscript and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.