Aortic Surgery in Pregnancy

Authors

Steven L. Lansman, New York Medical CollegeFollow
Joshua Goldberg, New York Medical CollegeFollow
Masashi Kai, New York Medical CollegeFollow
Gilbert Tang, New York Medical CollegeFollow
Ramin Malekan, New York Medical CollegeFollow
David Spielvogel, New York Medical CollegeFollow

DOI

10.1016/j.jtcvs.2016.06.015

Journal Title

Journal of Thoracic and Cardiovascular Surgery

First Page

S44

Last Page

S48

Document Type

Article

Publication Date

February 2017

Department

Surgery

Abstract

Pregnancy engenders changes in hemodynamics and the aortic wall that make a woman more susceptible to aortic dilatation and dissection. This is particularly true of women with aortic dilatation and an aortopathy, including the inherited fibrillinopathies, bicuspid aortic valve, and Turner syndrome. Women in these risk groups may be served best by undergoing elective aortic surgery before becoming pregnant. However, some women present during pregnancy with significant aortic dilatation, rapid expansion, or aortic dissection, and strategies to deal with these situations, while optimizing maternal and fetal outcomes, change as gestation progresses. This review summarizes the approaches to the management of aortic diseases and the conduct of aortic surgery in pregnancy.

Recommended Citation

Lansman, S. L., Goldberg, J., Kai, M., Tang, G., Malekan, R., & Spielvogel, D. (2017). Aortic Surgery in Pregnancy. Journal of Thoracic and Cardiovascular Surgery, 153 (2), S44-S48. https://doi.org/10.1016/j.jtcvs.2016.06.015