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After an uneventful pregnancy, a 28-year-old woman delivered a healthy girl by elective cesarean section. The procedure was complicated by severe, intractable hypertension. No cause was found for the severe hypertension, which was still present several weeks after delivery. A chest x-ray film and computed tomographic scan obtained postoperatively showed a pseudoaneurysm of the descending aorta with a maximal diameter of 9 cm in the area of a patch repair of a coarctation, which had been performed 16
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