Pregnancy and delivery in a patient with aortic prosthesis for Leriche syndrome

Abstract

A case of pregnancy and delivery in a 38-year-old patient with Leriche syndrome and an aortoiliac prosthesis is presented. The patient had no complications during pregnancy, and was admitted to the maternity hospital when close to term, to begin heparin therapy. Labor ensued spontaneously and a normal vaginal delivery occurred, resulting in a healthy infant. The authors present their considerations regarding the delivery route and the rationale for deciding in favor of vaginal childbirth.

Leriche’s syndrome and twin pregnancy

“…In this study, a stenotic lesion of >50% was accepted for peripheral arterial occlusive disease (6) . Sass et al (7) reported a case of pregnancy with an aortic prosthesis for Leriche syndrome. In this case, the patient had previously undergone surgery and the abdominal aorta was the only affected aortic area.…”

Pregnancy after aortic replacement graft

“…A review of the literature revealed six other reported cases of pregnancy occurring in patients who had had previous aortic grafting for aneurysmal or atherosclerotic disease 1 . ‐ 6 Two patients had caesarean section and the others were delivered vaginally; all infants were viable.…”