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8.4. Pregnancy in Patients With Aortopathy: Aortic Dissection
and Aortic Surgery in Pregnancy
COR LOE
Recommendations
1 C-LD 1. In patients experiencing an acute type A aortic dissection
during the first or second trimester of pregnancy, urgent aortic
surgery with fetal monitoring is recommended.
1 C-LD 2. In patients experiencing an acute type A aortic dissection during
the third trimester of pregnancy, urgent cesarean delivery
immediately followed by aortic surgery is recommended.
1 C-EO 3. In patients experiencing an acute type B aortic dissection
during pregnancy, medical therapy is recommended, unless
endovascular or surgical therapy is required to manage acute
complications.
2b C-EO 4. In patients with progressive aortic dilation during pregnancy,
prophylactic aortic surgery may be considered, depending on
individual circumstances.
