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September 4, 2026Asian Cardiovascular and Thoracic Annals

Aortic surgery during pregnancy preserves maternal survival but yields only a ~75% live birth rate.

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Why the study?

The study was conducted to evaluate maternal and fetal outcomes of aortic surgery during pregnancy.

What are the maternal and fetal outcomes of aortic surgery during pregnancy?

Design

Retrospective case series in a single tertiary cardiovascular center

Key result

Aortic surgery during pregnancy was associated with no maternal mortality (0/8) and a 75% live birth rate (6/8), demonstrating excellent maternal outcomes but significant fetal risk.

Authors

NLNutthawadee LuangthongSiriraj HospitalCPChutikarn PolkaewSiriraj HospitalPLPreawphan LeedamrongwattanakulSiriraj Hospital

Discussion

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Overview

Supports maternal safety of aortic intervention in pregnancy; leaves open fetal outcome optimization in prospective trials.

Study Design

Type

Observational (n=8)

Multicenter

No

Structured PICO

What are the maternal and fetal outcomes of aortic surgery during pregnancy?

P
Population
8 pregnant patients (mean age 30 years, mean gestational age 19.5 weeks) undergoing aortic intervention for pathologies such as aortic root aneurysm.
E
Exposure
Aortic surgery (open surgery in second trimester n=7, thoracic endovascular aortic repair in third trimester n=1). Specific procedures included valve-sparing root replacement (n=4), Bentall procedure (n=3), and thoracic endovascular aortic repair (n=1).
O
Outcome
Maternal and fetal outcomeshard clinical

Aortic surgery during pregnancy is associated with excellent maternal survival but carries a significant risk of intrauterine fetal demise.

Cite This Study

Luangthong et al. (2026) conducted an observational in Aortic pathology requiring surgery during pregnancy (n=8). Aortic surgery was evaluated on Maternal and fetal outcomes. Aortic surgery during pregnancy was associated with no maternal mortality (0/8) and a 75% live birth rate (6/8), demonstrating excellent maternal outcomes but significant fetal risk.

synapsesocial.com/papers/6a9cf05f60ceabfff382d718https://doi.org/10.1177/02184923261484990
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ascending Thoracic Aorta Aneurysm Surgery and Aortic Valve Repair during Pregnancy2009 · 5 citations
  2. 2Surgery for acute type A aortic dissection in pregnant patients with Marfan syndrome2005 · 69 citations
  3. 3Treatment of patients with aortic disease during pregnancy and after delivery2017 · 13 citations
  4. 4Outcomes of acute type A aortic dissection repair during pregnancy2022 · 7 citations
  5. 5Management strategies for acute type A aortic dissection during pregnancy: a single-center retrospective experience2026 · 1 citations