Congenital Heart DiseaseOutcome of pregnancy following intervention for coarctation of the aorta
Section snippets
Methods
A search of the Texas Children’s Hospital Cardiology Database was performed to identify all female patients born before 1980, who had undergone a balloon angioplasty or surgical repair for CoA. Patients with Turner’s syndrome or cyanotic congenital heart disease were excluded. A medical record review and telephone interview were then performed for all patients able to be contacted. The following data were abstracted from the patients medical record: age at intervention for CoA, preintervention
Results
Seventy-four patients met inclusion criteria for the study, of which 52 were able to be contacted for follow-up. The mean age of the patients at the time of study was 25 years (range 17 to 42). One patient has fetal alcohol syndrome and another has mild mental retardation with congenital deafness. Associated cardiac lesions (Table I) were present in 34 of 52 patients (65.4%). The mean arm-to-leg blood pressure gradient before surgical repair or balloon angioplasty for CoA was 55 mm Hg.
Discussion
In patients with unrepaired native CoA, Abbott4 reported a 69% mortality by 40 years of age. Surgical repair of the aorta has been performed since 19445, 6 and balloon angioplasty of CoA has been performed since first described by Singer et al7 in 1982. Balloon angioplasty of recoarctation has been shown to be effective in relieving residual obstruction.8 Surgical repair and balloon angioplasty of aortic coarctation provide marked improvement or resolution of the hemodynamic obstruction, thus
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Changes in echocardiographic parameters and hypertensive disorders in pregnancies of women with aortic coarctation
2017, Pregnancy HypertensionCitation Excerpt :In addition, the decrease in the pressure gradient (i.e., the pressure gradient at the second trimester minus the pressure gradient at the third trimester) was significantly less in the pregnancies with GH compared to those without GH (Fig. 2). The maternal and neonatal outcomes were excellent in our series of pregnancies with aortic coarctation, as reported previously [1–3]. In our study, cesarean sections were performed for a maternal cardiovascular indication in two pregnancies.
Heart Disease in Pregnancy
2016, Obstetrics: Normal and Problem PregnanciesComparison of risk of hypertensive complications of pregnancy among women with versus without coarctation of the aorta
2011, American Journal of CardiologyAnaesthetic management for caesarean section in a parturient with uncorrected coarctation of the aorta
2010, Annales Francaises d'Anesthesie et de ReanimationCitation Excerpt :Coarctation of the aorta is a congenital disease, which accounts for 6 to 8% of all congenital heart diseases [4]. The most frequent associated cardiac lesions are stenotic bicuspid aortic valves, left ventricular outflow tract obstruction, ventricular or auricular defects or patent ductus arteriosus [1,4,5]. The diagnosis is often made during infancy or childhood, so most of females reach childbearing age with a previous history of surgical repair.
Management of congenital heart disease in pregnancy
2010, Paediatric CardiologyCoarctation of the Aorta
2010, Dynamic Echocardiography