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{
    "pk": 18347,
    "title": "Acute Aortic Dissection in a Third Trimester Pregnancy without Risk Factors",
    "subtitle": null,
    "abstract": "Spontaneous aortic dissection in pregnancy is rare and life threatening for both the mother and the fetus. Most commonly, it is associated with connective tissue disorders, cardiac valve variants, or trauma. We present the case of a 23-year-old previously healthy woman, 36 weeks pregnant with a syncopal episode after dyspnea and vomiting. She subsequently developed cardiac arrest and underwent aggressive resuscitation, emergent thoracotomy, and cesarean delivery without recovery. On autopsy, she was found to have an aortic dissection of the ascending aorta. This case is presented to raise awareness and review the literature and the clinical approach to critical care for pregnant patients. [West J Emerg Med. 2011;12(4):571–574.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Aortic Dissection"
        },
        {
            "word": "pregnancy"
        },
        {
            "word": "ED ultrasound"
        },
        {
            "word": "Cardiovascular Diseases"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Female Urogenital Diseases and Pregnancy Complications"
        },
        {
            "word": "Other Analytical, Diagnostic and Therapeutic Techniques and Equipment"
        }
    ],
    "section": "Cardiology",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/80c6p2bw",
    "frozenauthors": [
        {
            "first_name": "Lisa",
            "middle_name": "",
            "last_name": "Kinney-Ham",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California",
            "department": "None"
        },
        {
            "first_name": "H.",
            "middle_name": "Bryant",
            "last_name": "Nguyen",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California; Loma Linda University, Department of Medicine, Division of Pulmonary and Critical Care, Loma Linda, California",
            "department": "None"
        },
        {
            "first_name": "Robert",
            "middle_name": "",
            "last_name": "Steele",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California",
            "department": "None"
        },
        {
            "first_name": "Elizabeth",
            "middle_name": "L",
            "last_name": "Walters",
            "name_suffix": "",
            "institution": "Loma Linda University, Department of Emergency Medicine, Loma Linda, California",
            "department": "None"
        }
    ],
    "date_submitted": "2011-03-21T07:00:00Z",
    "date_accepted": "2011-03-21T07:00:00Z",
    "date_published": "2011-05-27T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/18347/galley/9424/download/"
        }
    ]
}