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CC BY 4.0 · Aorta (Stamford) 2014; 02(03): 110-112
DOI: 10.12945/j.aorta.2014.13-038
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Pregnant Patient with Native Aortic Coarctation and Aneurysm

Titia P. E. Ruys
1   Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
,
Jos A. Bekkers
2   Department of Cardiothoracic Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands
,
Johannes J. Duvekot
3   Department of Obstetrics and Gynecology, Erasmus Medical Centre, Rotterdam, The Netherlands
,
Jolien W. Roos-Hesselink
1   Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
› Author Affiliations
Further Information

Publication History

06 August 2013

09 April 2014

Publication Date:
24 September 2018 (online)

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Abstract

Uncorrected coarctation is rare and is known to cause hypertension in adult patients. Retrospective observational studies showed hypertension and occasionally aortic dissection to be the principal risks during pregnancy after correction of aortic coarctation. We present a case of a patient with known hypertension, who presented at 32 weeks of gestation. A saccular aortic aneurysm of 4.5 × 8.8 cm was found by echocardiogram and confirmed with a chest X-ray. She delivered a healthy girl by caesarean section. After delivery a CT-angiography was performed showing a stable situation. Two months postpartum she was successfully operated. We present images of echocardiography, X-ray, CT and the surgical procedure. We discus the literature on native coarctation and the management choices in this difficult case.

Key Words

Aortic coarctation - Pregnancy - Thoracic aortic aneurysm - Delivery
 

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