Age | Type of dissection | Root size Prepregnancy | Timing | Management | |
Patient A* | 37 | Type A | 42 mm† | Day 10 pp‡ | Bentall procedure |
Patient B | 36 | Type B | 41 mm§ | Day 14 pp‡ | Beta-blockade |
Patient C¶ | 30 | Type B | Not imaged** (41 mm first trimester) | Day 4 pp‡ | Beta-blockade |
Patient D | 26 | Type B | 36 mm†† | 6 months pp‡ | Beta-blockade |
Patient E | 30 | Type B | Previous AoR 12 replacement and mechanical aortic valve | 12 weeks | Pregnancy termination and beta blockade |
*Patient managed outside specialist centre and referred at 37 weeks’ gestation.
†Root measurement in the third trimester 45 mm.
‡Pp=postpartum.
§Descending aorta parasternal long axis 21 mm prepregnancy.
¶Patient only referred to specialist centre for pregnancy care.
**Descending aorta parasternal long axis 19 mm in first trimester.
††Descending aorta parasternal long axis 21 mm prepregnancy.
AoR, aortic root.