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Pregnancy and Marfan syndrome
1Heart Institute, Kaplan Medical Center, Rehovot, affiliated to Hebrew University, Jerusalem, Israel.
Pregnancy in women with Marfan syndrome (MFS) requires special care due to risks like aortic dissection. This review offers management recommendations for pregnant MFS patients.
Area of Science:
- Cardiology
- Obstetrics
- Genetics
Background:
- Marfan syndrome (MFS) is a genetic disorder affecting connective tissue.
- Pregnancy in women with MFS is associated with increased maternal and fetal risks.
- Aortic dissection is the primary cause of mortality in MFS patients.
Purpose of the Study:
- To review current clinical information on Marfan syndrome in pregnancy.
- To provide management recommendations for pregnant patients with MFS.
Main Methods:
- Extensive literature review of clinical information.
- Synthesis of existing data for management guidelines.
Main Results:
- Pregnancy exacerbates risks in MFS patients, particularly cardiovascular complications.
- Aortic dissection remains a critical concern during gestation.
- Multidisciplinary management is crucial for favorable outcomes.
Conclusions:
- Careful monitoring and management are essential for pregnant women with MFS.
- Early detection and intervention for cardiovascular issues can improve maternal and fetal health.
- This review provides a framework for optimizing care in this high-risk population.
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