An atypical presentation of chronic Stanford type A aortic dissection during pregnancy

•Chronic type A aortic dissection is a scarce but disastrous disease during pregnancy.•Atypical symptoms should not be ignored to early identify this disease.•Multidisciplinary approach and tight hemodynamic control are very important.

Aortic dissection is a rare but devastating disease during pregnancy, usually presenting with sharp pains on the chest or back. We report a pregnant woman suffering from chronic Stanford type A aortic dissection presented with atypical symptoms without pain in the third trimester with markedly dilated aortic root and congestive heart failure, who received concomitant cesarean delivery and aortic repair with good maternal and fetal outcomes. Multidisciplinary approach and tight hemodynamic control are very important. More attention should be paid to those atypical symptoms so as to early identify this scarce but disastrous disease during pregnancy.