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Aortic dissection is unusual in young women, but when it occurs it is frequently associated with pregnancy and more importantly with pregnancy hypertension. A 37 old women with gestational hypertension was presented with chest pain during delivery by cesarean section and chest computed tomography scan was done and showed an aortic dissection; she was operated in an emergency with a successful outcome after delivery. Our aim is to put the point on the need to suspect the diagnosis of aortic dissection in a patient with preeclampsia and who complains of acute chest pain.

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