Conclusions
The challenges faced when dealing with AD in pregnancy are numerous, and for best outcomes an individual approach is needed. Diagnosis must be rapid, and management initiated in order to save both mother and baby. Despite this, challenges carrying out management in the form of operative techniques and cardiopulmonary bypass place the foetus at risk and must be approached with caution, particularly as there is little evidence-base for many of these decisions. Further research into reducing maternal and fetal mortality is necessary.
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