ACUTE AORTIC DISSECTION IN A PATIENT WITH MARFANS-SYNDROME COMPLICATED BY GESTATIONAL HYPERTENSION

Objective: To present a case of aortic dissection in a pregnant woman with Marfan's syndrome. Clinical features: A 34-year-old woman with Ma rfan's syndrome developed gestational hypertension and Type III aortic dissection during the third trimester. The diagnosis was confirmed by computed tomography and aortography. Outcome: Although the dissection progressed, the woman was treated successfully. Elective caesarean se ction was performed. At follow-up the dissection had healed. Conclusio n: Marfan's syndrome introduces a high risk of aortic dissection durin g pregnancy and the treatment chosen is crucial. As dilatation of the aorta is progressive, patients with Marfan's syndrome should be follow ed up closely and offered prophylactic surgery if necessary.