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Management of a parturient with a thoracic aortic aneurysm.

Few obstetricians and anesthesiologists will be called upon to manage a pregnant patient with a significant thoracic aortic aneurysm (TAA). Knowledge of the cardiovascular changes associated with pregnancy, and the hemodynamic perturbations associated with labor and delivery, allow for the formulation of a comprehensive medical plan that improves the chances for safe outcomes for both the mother and fetus. A multidisciplinary approach with early and effective communication among all involved consultants can improve the chances for a safe delivery for both the mother and infant. We report the case of a parturient with a TAA managed by elective cesarean section at 37 weeks with use of a continuous epidural anesthetic.