Saulė Starkauskaitė¹, Eglė Ereminienė²

¹Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

²Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania

 

Abstract

Women with Turner‘s syndrome (TS) have a high incidence of various pathologies of the cardiovascular and endocrine system, autoimmune diseases. In most of the TS patients primary ovarian insufficiency causes infertility thus in vitro fertilization (IVF) is an effective treatment option for those willing to conceive. Anyway, women who become pregnant after IVF have an increased risk of aortic dilatation, dissection and rupture. This risk is especially high in TS patients with a bicuspid aortic valve or coarctation of the aorta. To avoid these life-threatening complications careful cardiovascular assessment, intensive multidisciplinary antenatal monitoring and individualized delivery planning is very important. We report the clinical case of a 29 year old TS patient with bicuspid aortic valve and worsening aortic dilatation in a second semester of pregnancy, achieved after IVF. Despite the pathologies a healthy newborn was delivered after cesarean section with good maternal and fetal outcomes.

Keywords: Turner’s syndrome, aortic dilatation.