Abstract
Cardiac diseases are the second cause of non-obstetrical death during pregnancy in France. Bicuspid aortic valve is the most frequent congenital cardiac disease but its characteristics are little known. We report two consecutive cases of pregnant patients with aortic bicuspidy, one with a severe aortic stenosis and one with a severe dilatation of the ascending aorta. We describe the anaesthetic management of delivery for these two cases and summarize the current recommendations for management of this condition during pregnancy.
Keywords:
Aortic dilatation; Aortic stenosis; Bicuspid aortic valve; Cesarean section; Césarienne; Grossesse; Insuffisance aortique; Pregnancy; Sténose aortique; Valve aortique bicuspide.
Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.
MeSH terms
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Adult
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Analgesia, Obstetrical
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Anesthesia, Epidural
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Anesthesia, Obstetrical*
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Aorta / diagnostic imaging
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Aorta / pathology
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Aortic Diseases / complications
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Aortic Diseases / diagnostic imaging
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Aortic Diseases / therapy*
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Aortic Valve / abnormalities*
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Aortic Valve / diagnostic imaging
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Aortic Valve Stenosis / complications
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Aortic Valve Stenosis / diagnostic imaging
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Aortic Valve Stenosis / therapy*
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Bicuspid Aortic Valve Disease
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Cesarean Section
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Delivery, Obstetric / methods*
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Dilatation, Pathologic
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Echocardiography
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Female
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Heart Valve Diseases / complications*
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Heart Valve Diseases / diagnostic imaging
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Heart Valve Diseases / therapy
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Hemodynamics / drug effects
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Humans
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Oxytocics / adverse effects
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Oxytocin / adverse effects
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Preanesthetic Medication
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Pregnancy
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Pregnancy Complications, Cardiovascular / diagnostic imaging
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Pregnancy Complications, Cardiovascular / therapy*