Recommendations for 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.1–3
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.1–4
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.5
2b	C-EO	4. In patients with progressive aortic dilation during pregnancy, prophylactic aortic surgery may be considered, depending on individual circumstances.1,2,4