Acute type A aortic dissection complicating pregnancy at 32 weeks: surgical repair after cesarean section.

A 40-year-old, gravida 2, para 1 woman presented at a gestational age of 32 + 5 weeks' with sudden onset of a sharp chest and thoracic back pain. She was admitted 1 hour before the onset of pain because of some minor postcoital vaginal blood loss. Pregnancy was uneventful until 30 weeks of pregnancy when mild gestational diabetes was diagnosed.