Figure 5.

Aortopathy in pregnancy. Women of childbearing age contemplating pregnancy who are at risk or have known aortopathy require multidisciplinary care from preconception to postpartum period and beyond. Pregnancy is contraindicated with severe aortic dilatation, and preconception aortic surgery may be offered. Antepartum aortic surveillance imaging is important, and delivery planning should account for aortic diameter. Beta blockade and blood pressure control are essential. Postpartum surveillance imaging and cardiovascular risk assessment is warranted. ACC/AHA, American College of Cardiology/American Heart Association; CT, computed tomography; ESC, European Society of Cardiology; JACC, Journal of the American College of Cardiology; TTE, transthoracic echocardiography; MRI, magnetic resonance imaging.