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Case Reports in Obstetrics and Gynecology
Volume 2011, Article ID 483178, 4 pages
Case Report

Management of Worsening Aortic Dilation and Insufficiency in a 20-Week Pregnant Woman: A Case Report

1Department of Obstetrics & Gynecology, University of California, Los Angeles, CA 90095, USA
2Department of Anesthesiology, University of California, Los Angeles, CA 90095-7403, USA
3Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA 90095, USA

Received 11 May 2011; Accepted 6 June 2011

Academic Editors: Drorith Hochner-Celnikier, Lisbeth Nilas, and Edi Vaisbuch

Copyright © 2011 Amy Shah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Preexisting aortic disease can worsen during pregnancy as physiologic hemodynamic changes evolve. At a large academic institution, a patient with a remote history of vasculitis presented with a second trimester pregnancy with increasing aortic dilatation and aortic insufficiency. Extensive obstetric discussions encompassed maternal cardiac risks from continuing the pregnancy and fetal risks from maternal cardiac intervention. This patient desired termination of pregnancy to avoid further complications and to expedite surgical aortic repair.