Dissection de l’aorte descendante et prééclampsie à 30 semaines d’aménorrhée : prise en charge médicale et césarienne

Abstract: The authors report the case of a dissection of the descending thoracic aorta in a woman in the third trimester of the pregnancy. After an initial medical therapy by a combination of three intravenous anti-hypertensive medications, a caesarean section was decided under general anaesthesia at 30 weeks of gestation as the result of the occurrence of a severe preeclampsia. The aetiology, diagnosis, and anaesthetic management are discussed. [Copyright &y& Elsevier]