Abdominal aortic aneurysm in pregnant crack cocaine abuse patient

Abstract

Back ground: Rupture is a fatal complication of abdominal aortic aneurysm. An aneurysm is defined as ruptured when bleeding is present outside of the wall of the aneurysm. Case presentation: A 32 year old woman crack user, in 40 weeks pregnancy came to labor department. An emergency cesarean section was performed. She expired 13 hours after surgery. Autopsy detects dissection of abdominal aortic aneurysm. Conclusion: Sympathetic agonist and vasoconstriction effect of crack resulting increased blood pressure, heart rate, myocardial contractility would increase the risk of aortic dissection.