Peripartum aortic dissection: a rare case of Stanford type B dissection triggered by severe labor pain.

ABSTRACT:

Background

Peripartum aortic dissection (AD) is an uncommon yet significant complication during pregnancy and delivery, characterized by a tear in the aortic intima that can lead to severe maternal morbidity and mortality. This case report describes a rare instance of Stanford Type B aortic dissection occurring in a pregnant woman, emphasizing that acute, severe labor pain can obscure the diagnosis of AD, often leading to misattribution of symptoms to more common obstetric complications.

Case presentation

This report highlights the case of a 36-year-old primigravida who presented with acute chest pain during labor, initially misdiagnosed until imaging revealed the dissection post-delivery. The critical interplay between labor-induced hemodynamic stress and pre-existing vascu

SUBMITTER: Lu Y 

PROVIDER: S-EPMC12620343 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature