Thresholds for elective surgical intervention prior to pregnancy and indication for caesarean section [35]
| Disease | Indication prepregnant surgery | Indication caesarean section |
|---|---|---|
| Marfan syndrome | ≥ 45 mm | ≥ 45 mm |
| Turner syndrome | ≥ 27 mm/m2 | ≥ 27 mm/m2 |
| Bicuspid aortic valve | ≥ 50 mm | ≥ 45 mm |
| Loeys-Dietz syndrome | ≥ 45 mm | ≥ 45 mm |
| Vascular Ehlers-Danlos Syndrome | Contraindicated | Always |
| Others | ≥ 50 mm | ≥ 45 mm |
MI contributed to the conception and design of the study; PR wrote the following sections: Aortopathy in pregnancy, Risk stratification, Pre-conception counselling, Management of pregnancy, Acute aortic syndrome in pregnancy, Conclusions; PG wrote the physiological effect of pregnancy on aorta and the following sections: Introduction, Epidemiology, Timing of aortic surgery in pregnancy, Management during labour, Postpartum management. MI and BV provided overall supervision for this study. All authors contributed to manuscript review, and read and approved the submitted version.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2021.