Navigating the Aortopathy Dilemma in Pregnancy

Figures

• 

  Figure 1. Imaging Findings for Patient 1 (A) Transesophageal echocardiogram demonstrating a heavily calcified bicuspid aortic valve. (B) Doppler trace of aortic valve showing severe aortic stenosis with peak velocity of 4.1 m/s. (C) Cardiac MRI demonstrating dilatation of the midascending aorta at 53 mm. MRI = magnetic resonance imaging.

• 

  Figure 2. Imaging Findings for Patient 2 (A and B) Noncontrast CT demonstrating dilated midascending aorta with a maximum dimension of 55 mm. (C) Cardiac MRI demonstrating dilated midascending aorta with sparing of the aortic root. CT = computed tomography; MRI = magnetic resonance imaging.

• 

  Figure 3. Imaging Findings for Patient 3 (A) Cardiac MRI showing dilatation of aortic root with sinus dimension of 43 mm and (B) relatively normal midascending aorta <40 mm. MRI = magnetic resonance imaging.

• 

  Figure 4. Imaging Findings for Patient 4 (A) Cardiac MRI showing aortic root dilatation with a sinus dimension of 45 mm and (B) normal dimensions for the remainder of the aorta. MRI = magnetic resonance imaging.

• 

  Visual Summary. MRI Demonstration of Various Aortopathy Phenotypes and Description of ESC mWHO 2.0 Risk Classification ASI = aortic size index; BAV = bicuspid aortic valve; EDS = Ehlers-Danlos syndrome; ESC = European Society of Cardiology; HTAD = heritable thoracic aortic disease; MRI = magnetic resonance imaging; mWHO = modified World Health Organization.