Accurate symptom assessment and echocardiography are crucial for managing aortic stenosis in pregnancy, which is generally well-tolerated in asymptomatic patients with normal LV function.
Accurate symptom assessment and echocardiography guide AS management in pregnancy; level 5 evidence leaves open prospective validation.
Aortic stenosis in pregnancy is most commonly related to congenital or bicuspid aortic stenosis, which is associated with an aortopathy and ascending aortic dilatation. The management of AS in pregnancy is based on a few key principles. First and foremost the accurate assessment of the patient’s symptoms and confi rmation, via echocardiography, of the degree of AS is of the utmost importance. Exercise testing is a very handy adjunct to quantify symptoms. Based on these fi ndings, an informed process of discussion between the patient and a multidisciplinary team will lead to the correctmanagement. As a general rule, patients who are truly asymptomatic with normal left ventricular systolic function and normal aortic root are able to tolerate pregnancy with a low maternal and fetal risk.
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Alfonso Pecoraro (2017) studied this question.
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