Management of Annulo-Ectasitic Disease during Pregnancy

Abstract

Annulo-ectasitic disease is a group of disorders with similar phenotypic features, combining aneurysm of the aortic duct and dilatation of the aortic annulus. Its incidence is estimated at 4.5 cases per 100,000. It is the 13th leading cause of death in Western countries. Aneurysms of the ascending aorta are divided into two distinct entities according to etiology and surgical management. Pregnancy and peri-partum are two situations where the risk of aortic dissection is higher, with a more rapid progression of aortic diameters. This risk is directly related to the diameter of the aorta at the beginning of pregnancy, compliance with beta-blocker treatment, and the need for concerted cardiological and obstetric monitoring as soon as the desire for pregnancy is expressed and up to the 2nd month of the peripartum period. The aim of this review is to illustrate, through 02 clinical situations, the difficulties in managing parturient patients suffering from the different types of annuloectasitic disease of the aorta.