Joyce Ji, MD, J. Trevor Posenau, MD, Kathryn J. Lindley, MD, Alan C

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Presentation transcript:

Dissecting the Dilemma: Uncontrolled Hypertension in a Pregnant Patient Joyce Ji, MD, J. Trevor Posenau, MD, Kathryn J. Lindley, MD, Alan C. Braverman, MD The American Journal of Medicine Volume 129, Issue 5, Pages e1-e3 (May 2016) DOI: 10.1016/j.amjmed.2015.09.023 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 (A) Transthoracic echocardiogram demonstrating dilated descending aorta. (B) Color flow Doppler demonstrating a turbulent jet in proximal descending aorta. (C) Continuous wave Doppler demonstrating increased velocity (approximately 2.5 m/s) and peak pressure gradient (25 mm Hg) across the “narrowing.” The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.023) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Contrast computed tomography scan demonstrating a type B aortic dissection with an intimal flap (black arrow) and a 5.8-cm thoracic aortic aneurysm. (A) Sagittal view. (B) Axial view. The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.023) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Computed tomography angiogram 7 months after thoracic endovascular aortic repair. (A) Sagittal view demonstrating stent graft in place, as well as stent in the left common carotid artery and Amplatzer (St. Jude Medical, St. Paul, MN) plugs in the left subclavian artery. (B) Axial view demonstrating progressive thrombosis of the false lumen (white arrow) and decreased aneurysm size. The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.023) Copyright © 2016 Elsevier Inc. Terms and Conditions