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Against all odds: successful pregnancy in an adult patient with unrepaired coarctation of the aorta

Published online by Cambridge University Press:  13 May 2024

Davide Sorice ,
Rosaria Barracano Open the ORCID record for Rosaria Barracano [Opens in a new window]  and
Berardo Sarubbi Open the ORCID record for Berardo Sarubbi [Opens in a new window]
Davide Sorice
Affiliation:
University of Campania Luigi Vanvitelli, Naples, Italy Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy
Rosaria Barracano*
Affiliation:
Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy
Berardo Sarubbi
Affiliation:
Adult Congenital Heart Disease Unit, Department of Cardiology, Monaldi Hospital, Naples, Italy
*
Corresponding author: Rosaria Barracano; Email: [email protected]
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Abstract

According to the modified World Health Organization classification, pregnant women with unrepaired aortic coarctation are at very high risk for both maternal and fetal complications and should, therefore, be counselled against pregnancy. The most frequent maternal complications include systemic hypertension, renal failure, preeclampsia, and aortic dissection. Herein, we describe a successful pregnancy in an adult patient with unrepaired aortic coarctation.

Keywords

pregnancycoarctation of the aortaunrepaired coarctation of the aortaadult CHD
Type
Brief Report
Information
Cardiology in the Young , Volume 34 , Issue 6 , June 2024 , pp. 1390 - 1392
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

Baumgartner, H, De Backer, J, Babu-Narayan, SV, ESC Scientific Document Group, et al. 2020 ESC guidelines for themanagement of adult congenital heart disease. Eur Heart J 2021; 42: 563–645.10.1093/eurheartj/ehaa554CrossRefGoogle Scholar
Gronningsaeter, L, Langesaeter, E, Sørbye, IK, et al. High prevalence of pre-eclampsia in women with coarctation of the aorta. Eur Heart J Open 2023; 3: oead072. DOI: 10.1093/ehjopen/oead072.10.1093/ehjopen/oead072CrossRefGoogle ScholarPubMed
Egidy Assenza, G, Krieger, EV, Baumgartner, H, et al. AHA/ACC vs ESC guidelines for management of adults with congenital heart disease: JACC guideline comparison. J Am Coll Cardiol 2021; 78: 1904–1918.10.1016/j.jacc.2021.09.010CrossRefGoogle ScholarPubMed
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, ESC Scientific Document Group, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy: the task force for the management of cardiovascular diseases during pregnancy of the European society of cardiology (ESC). Eur Heart J 2018; 39: 3165–3241.10.1093/eurheartj/ehy340CrossRefGoogle Scholar
Beauchesne, LM, Connolly, HM, Ammash, NM, Warnes, CA. Coarctation of the aorta: outcome of pregnancy. J Am Coll Cardiol 2001; 38: 1728–1733.10.1016/S0735-1097(01)01617-5CrossRefGoogle ScholarPubMed
Ramlakhan, KP, Tobler, D, Greutmann, M, et al. ROPAC investigators group. Pregnancy outcomes in women with aortic coarctation. Heart 2020; 107: 290–298.10.1136/heartjnl-2020-317513CrossRefGoogle ScholarPubMed
Cherpak, BV, Davydova, YV, Kravchenko, Yaschuk VI, Siromakha, NS, Lazoryshynets, SO VV. Management of percutaneous treatment of aorta coarctation diagnosed during pregnancy. J Med Life 2022; 15: 208–213.10.25122/jml-2021-0363CrossRefGoogle ScholarPubMed
Assaidi, A, Sbragia, P, Fraisse, A. Transcatheter therapy for aortic coarctation with severe systemic hypertension during pregnancy. Catheter Cardiovasc Interv 2013; 82: 556–559.10.1002/ccd.24404CrossRefGoogle ScholarPubMed
Cluver, CA, Herbst, P, Griffith-Richards, S, Hassan, M, Allwood, B. Coarctation of the aorta: a rare cause of severe hypertension in pregnancy. Lancet 2020; 396: 62.10.1016/S0140-6736(20)31312-XCrossRefGoogle ScholarPubMed