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COARCTATION OF THE AORTA AND PREGNANCY

COARCTATION OF THE AORTA AND PREGNANCY Pregnancy is not rare in patients with coarctation of the aorta and the possibility of the existence of this abnormality should be considered in every case of hypertension occurring during pregnancy or soon thereafter. The absence of toxemia of pregnancy and fetal mortality in patients with coarctation of the aorta is impressive, and only one report was found that mentioned such an occurrence. This is in sharp contrast to the incidence of toxemia of pregnancy in patients with hypertension from other causes, which varies in reports in the literature from 10 to 30%. Coarctation of the aorta associated with pregnancy is an important abnormality which requires operation in many cases. Although there is not sufficient evidence to draw definite conclusions about the optimal time for resection, if resection of the coarctation is planned, it should probably be deferred until after delivery. The apparent lack of cardiovascular complications during labor argues against cesarean section and in favor of a pelvic delivery for patients with coarctation of the aorta. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

COARCTATION OF THE AORTA AND PREGNANCY

Shanahan, W. Raymond; Romney, Seymour L.; Currens, James H.
JAMA , Volume 167 (3) – May 17, 1958
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1958.02990200001001
Publisher site
See Article on Publisher Site

Abstract

Pregnancy is not rare in patients with coarctation of the aorta and the possibility of the existence of this abnormality should be considered in every case of hypertension occurring during pregnancy or soon thereafter. The absence of toxemia of pregnancy and fetal mortality in patients with coarctation of the aorta is impressive, and only one report was found that mentioned such an occurrence. This is in sharp contrast to the incidence of toxemia of pregnancy in patients with hypertension from other causes, which varies in reports in the literature from 10 to 30%. Coarctation of the aorta associated with pregnancy is an important abnormality which requires operation in many cases. Although there is not sufficient evidence to draw definite conclusions about the optimal time for resection, if resection of the coarctation is planned, it should probably be deferred until after delivery. The apparent lack of cardiovascular complications during labor argues against cesarean section and in favor of a pelvic delivery for patients with coarctation of the aorta.

Journal

JAMA – American Medical Association

Published: May 17, 1958

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