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. 2020 Oct 14;6(1):58–66. doi: 10.1001/jamacardio.2020.4876

Table 1. Clinical, Obstetric, and Aortic Imaging Data in Women With Pregnancy-Related Acute Aortic Dissection.

Patient No. Aortopathy diagnosis Diagnosis Ghent or revised Ghent; genetic testing Aortopathy diagnosis before vs after dissection Prior aortic surgery Aortic dissection type Time of dissection Treatment Aortic diameter, mm β-Blocker use Hypertensiona Mode of delivery Prior pregnancy
Before aortic dissection At time of diagnosis of aortic dissection
1 Marfan NA NA No A 3rd TM Surgery 47 SoV 52 SoV; 53 AA No No Cesarean Yes
2 Marfan Ghent FBN1 Before No A 28 d PP Surgery 45 SoV 45 SoV; 48 AA; 35 DA Yes No Vaginal No
3 Marfan Ghent After No A 6 d PP Surgery NA 76 SoV; 70 AA No No Cesarean Yes
4 Marfan Ghent FBN1 Before No A 3rd TM Surgery 41 SoV 50 SoV; 42 AA; 27 DA Yes No Cesarean No
5 Marfan Revised Ghent After No A 3rd TM Surgery NA 52 SoV; 60 AA; 25 DA No No Cesarean Yes
6 Marfan Revised Ghent FBN1 After No A 3rd TM Surgery NA 60 SoV; 68 AA; 22 DA No No Cesarean Yes
7 Marfan NA NA No A NA Surgery NA 42 SoV; 50 AA; 24 DA NA NA NA NA
8 BAV No genetic testing After No A 3rd TM Surgery No 52 SoV; 46 AA; 24 DA No No Cesarean No
9 BAV No genetic testing After No A 3rd TM Surgery NA NA No Yes Cesarean No
10 FTAA No genetic testing After No A 2 d PP Surgery NA 60 SoV; 70 AA No No Cesarean No
11 +FH aortic disease Genetic testing: no variants NA No A NA Surgery 41 SoV 42 AA; 21 DA No Yes Cesarean Yes
12 None NA NA No A 4 d PP Surgery NA 63 SoV; 55 AA; 24 DA No No Vaginal No
13 None NA NA No A 3rd TM Surgery NA 47 SoV; 40 AA; 44 DA NA Yes Cesarean Yes
14 Marfan Ghent FBN1 Before No B 10 d PP Medical NA 39 SoV; 29 AA; 28 DA NA No Vaginal Yes
15 Marfan Ghent FBN1 Before VSRR B 3rd TM Medical 20 DA 35 SoV; 28 AA; 30 DA Yes No Cesarean Yes
16 Marfan Revised Ghent FBN1 Before No B 5 d PP Medical 22 DA 28 AA; 27 DA Yes No Vaginal Yes
17 Marfan Revised Ghent FBN1 Before No B 1st TM Surgery NA 40 SoV; 60 DA Yes Yes Termination Yes
18 Marfan Revised Ghent FBN1 After No B 3rd TM TEVAR 36 SoV 33 SoV; 24 AA; 23 DA Yes No Cesarean No
19 Marfan Revised Ghent NA No B 5 d PP Medical 41 SoV 38 SoV Yes No Cesarean Yes
29 DA
20 Loeys-Dietz TGFBR1 Before No B 56 d PP Surgery 42 SoV; 30 AA; 36 DA 47 SoV; 45 AA; 57 DA Yes No Cesarean No
21 Loeys-Dietz TGFBR1 Before VSRR B 3 d PP Surgery 28 DA 33 SoV; 35 AA; 32 DA Yes No Cesarean No
22 +FH aortic disease Genetic testing: no variants NA No B 10 d PP TEVAR 22 DA 27 SoV; 30 AA; 30 DA No No Vaginal Yes
23 None NA NA VSRR B 3rd TM Surgery NA 35 SoV NA NA Cesarean NA
24 None Genetic testing: no variants NA None B 11 d PP Medical NA 27 SoV; 26 AA; 24 DA No No Vaginal Yes
25 None NA NA No B 1st TM TEVAR NA 40 SoV; 39 AA; 27 DA No Yes MC Yes
26 None NA NA No B 1st TM Medical NA 31 SoV; 34 AA; 24 DA No No Vaginal No
27 None NA NA Prior type B aortic dissection B 1st TM Medical NA 24 AA; 29 DA No Yes Termination NA
28 None NA NA No B 10 d PP Medical NA 31 SoV; 36 AA; 31 DA No Yes, PE Cesarean Yes
29 None COL5A1 VUS NA No B 3rd TM Medical NA 26 SoV; 26 AA; 35 DA No No Vaginal Yes

Abbreviations: AA, ascending aorta; BAV, bicuspid aortic valve; DA, descending aorta; +FH, positive family history; FTAA, familial thoracic aortic aneurysm; MC, miscarriage; NA, not available; PE, preeclampsia; PP, post partum; SoV, sinus of Valsalva; TEVAR, thoracic endovascular aortic repair; TM, trimester; VSRR, valve-sparing root replacement; VUS, variant of unknown significance.

a

Hypertension or hypertensive disorder during pregnancy.