title: [Anaesthetic management of patients with bicuspid aortic valve for delivery. About two consecutive cases].
abstract: Cardiac diseases are the second cause of non-obstetrical death during pregnancy in France. Bicuspid aortic valve is the most frequent congenital cardiac disease but its characteristics are little known. We report two consecutive cases of pregnant patients with aortic bicuspidy, one with a severe aortic stenosis and one with a severe dilatation of the ascending aorta. We describe the anaesthetic management of delivery for these two cases and summarize the current recommendations for management of this condition during pregnancy.
authors.affiliation: Département d'anesthésie-réanimation chirurgicale, hôpital Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France.
authors.forename: M
authors.initials: M
authors.lastname: Paul
authors.forename: B
authors.initials: B
authors.lastname: Iung
authors.forename: P
authors.initials: P
authors.lastname: Montravers
authors.forename: D
authors.initials: D
authors.lastname: Longrois
authors.forename: J
authors.initials: J
authors.lastname: Guglielminotti
mesh_terms: D000328:Adult; D016362:Analgesia, Obstetrical; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D000082882:Bicuspid Aortic Valve Disease; D002585:Cesarean Section; D036861:Delivery, Obstetric / Q000379:methods*; D004108:Dilatation, Pathologic; D004452:Echocardiography; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D010120:Oxytocics / Q000009:adverse effects; D010121:Oxytocin / Q000009:adverse effects; D011229:Preanesthetic Medication; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D010120:Oxytocics; D010121:Oxytocin
keywords: Aortic dilatation; Aortic stenosis; Bicuspid aortic valve; Cesarean section; Césarienne; Grossesse; Insuffisance aortique; Pregnancy; Sténose aortique; Valve aortique bicuspide