Pregnancy outcome in thoracic aortic disease data from the Registry Of Pregnancy And Cardiac disease
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Pregnancy outcome in thoracic aortic disease data from the Registry Of Pregnancy And Cardiac disease. / Campens, Laurence; Baris, Lucia; Scott, Nandita S; Broberg, Craig S; Bondue, Antione; Jondeau, Guillaume; Grewal, Jasmine; Johnson, Mark R; Hall, Roger; De Backer, Julie; Roos-Hesselink, Jolien W; ROPAC investigators group.
In: HEART, Vol. 107, No. 21, 11.2021, p. 1704-1709.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Pregnancy outcome in thoracic aortic disease data from the Registry Of Pregnancy And Cardiac disease
AU - Campens, Laurence
AU - Baris, Lucia
AU - Scott, Nandita S
AU - Broberg, Craig S
AU - Bondue, Antione
AU - Jondeau, Guillaume
AU - Grewal, Jasmine
AU - Johnson, Mark R
AU - Hall, Roger
AU - De Backer, Julie
AU - Roos-Hesselink, Jolien W
AU - ROPAC investigators group
N1 - © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2021/11
Y1 - 2021/11
N2 - BACKGROUND: Cardiovascular disease is the leading cause of death during pregnancy with thoracic aortic dissection being one of the main causes. Thoracic aortic disease is commonly related to hereditary disorders and congenital heart malformations such as bicuspid aortic valve (BAV). Pregnancy is considered a high risk period in women with underlying aortopathy.METHODS: The ESC EORP Registry Of Pregnancy And Cardiac disease (ROPAC) is a prospective global registry that enrolled 5739 women with pre-existing cardiac disease. With this analysis, we aim to study the maternal and fetal outcome of pregnancy in women with thoracic aortic disease.RESULTS: Thoracic aortic disease was reported in 189 women (3.3%). Half of them were patients with Marfan syndrome (MFS), 26% had a BAV, 8% Turner syndrome, 2% vascular Ehlers-Danlos syndrome and 11% had no underlying genetic defect or associated congenital heart defect. Aortic dilatation was reported in 58% of patients and 6% had a history of aortic dissection. Four patients, of whom three were patients with MFS, had an acute aortic dissection (three type A and one type B aortic dissection) without maternal or fetal mortality. No complications occurred in women with a history of aortic dissection. There was no significant difference in median fetal birth weight if treated with a beta-blocker or not (2960 g (2358-3390 g) vs 3270 g (2750-3570 g), p value 0.25).CONCLUSION: This ancillary analysis provides the largest prospective data review on pregnancy risk for patients with thoracic aortic disease. Overall pregnancy outcomes in women with thoracic aortic disease followed according to current guidelines are good.
AB - BACKGROUND: Cardiovascular disease is the leading cause of death during pregnancy with thoracic aortic dissection being one of the main causes. Thoracic aortic disease is commonly related to hereditary disorders and congenital heart malformations such as bicuspid aortic valve (BAV). Pregnancy is considered a high risk period in women with underlying aortopathy.METHODS: The ESC EORP Registry Of Pregnancy And Cardiac disease (ROPAC) is a prospective global registry that enrolled 5739 women with pre-existing cardiac disease. With this analysis, we aim to study the maternal and fetal outcome of pregnancy in women with thoracic aortic disease.RESULTS: Thoracic aortic disease was reported in 189 women (3.3%). Half of them were patients with Marfan syndrome (MFS), 26% had a BAV, 8% Turner syndrome, 2% vascular Ehlers-Danlos syndrome and 11% had no underlying genetic defect or associated congenital heart defect. Aortic dilatation was reported in 58% of patients and 6% had a history of aortic dissection. Four patients, of whom three were patients with MFS, had an acute aortic dissection (three type A and one type B aortic dissection) without maternal or fetal mortality. No complications occurred in women with a history of aortic dissection. There was no significant difference in median fetal birth weight if treated with a beta-blocker or not (2960 g (2358-3390 g) vs 3270 g (2750-3570 g), p value 0.25).CONCLUSION: This ancillary analysis provides the largest prospective data review on pregnancy risk for patients with thoracic aortic disease. Overall pregnancy outcomes in women with thoracic aortic disease followed according to current guidelines are good.
KW - Adult
KW - Aorta, Thoracic
KW - Aortic Diseases/epidemiology
KW - Cause of Death/trends
KW - Comorbidity
KW - Female
KW - Global Health
KW - Heart Diseases/epidemiology
KW - Humans
KW - Incidence
KW - Infant, Newborn
KW - Pregnancy
KW - Pregnancy Complications, Cardiovascular
KW - Pregnancy Outcome
KW - Prospective Studies
KW - Registries
KW - Survival Rate/trends
U2 - 10.1136/heartjnl-2020-318183
DO - 10.1136/heartjnl-2020-318183
M3 - SCORING: Journal article
C2 - 33468574
VL - 107
SP - 1704
EP - 1709
JO - HEART
JF - HEART
SN - 1355-6037
IS - 21
ER -