Coarctation of the Aorta and Pregnancy

Rosenthal, Leonard

doi:10.1136/bmj.1.4904.16

Cited by 32 publications

(3 citation statements)

References 6 publications

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“…The relation was 3.5 to 1. This proximal rupture has been stated to be the main hazard of pregnancy in coarctation (13). This, however, occurred in none of our 22 female patients with a total of 49 pregnancies (8).…”

Section: Aortic Rupturementioning

confidence: 74%

Major Hazards of Coarctation of the Aorta

Frick¹

1961

Cardiology

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Section: Aortic Rupturementioning

confidence: 74%

Major Hazards of Coarctation of the Aorta

Frick¹

1961

Cardiology

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“…If the diagnosis is first made during pregnancy, treatment must vary according to the circumstances. Until the twentieth week reconstructive surgery has a good chance of success (7). Later on the size of the fetus will be a relative obstacle for an uneventful recovery period due to, among other factors, the effect upon the respiratory movements.…”

Section: Commentsmentioning

confidence: 99%

Aortic Coarctation and Pregnancy

Hillestad

1972

Acta Obstet Gynecol Scand

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An 18‐year‐old primigravida was admitted in the seventh month of pregnancy with a diagnosis of pre‐eclampsia, based on a recent rise of the blood pressure up to 175/110 mmHg. Oedema and proteinuria were absent. Examination revealed absent femoral pulses and no measurable blood pressure in the lower limbs. A harsh holosystolic murmur, grade 4, was audible over the pre‐cordium. A collateral pulse was felt at the medial border of the left scapula. The chest film showed rib erosions and a possible widening of the ascending aorta. A diagnosis was made of aortic coarctation with probable aortic aneurysm. To avoid the strain of labour a Caesarean section was successfully undertaken. Subsequent aorto‐angiography showed the presence of a marked aortic coarctation, an aneurysm of the ascending aorta and markedly dilated innominate, left subclavian and mammary arteries. Surgical repair was undertaken eight weeks after delivery. The aortic stenosis had a diameter of only 3 mm. Histologic examination of the removed specimen revealed marked atheromatosis, intimal fibrosis and mucoid degeneration. The findings thus justified the therapeutic procedure selected. The diagnosis of aortic coarctation is reviewed and the management when found during pregnancy is discussed.

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“…On the whole the severe forms of the disease, especially those with cyanosis, either do not survive to the age of marriage or do not become pregnant. Rosenthal (1955) reviewed 96 cases of coarctation, and i of these patients died during pregnancy, but many of these cases were unusual with severe symptoms. Burwell and Metcalf (1958) mention 42 patients who were followed in 63 pregnancies without a death.…”

Section: Rheumatic Carditismentioning

confidence: 99%

Heart Disease in Pregnancy

Clayton

1962

Postgraduate Medical Journal

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Coarctation of the Aorta and Pregnancy

Cited by 32 publications

References 6 publications

Major Hazards of Coarctation of the Aorta

Major Hazards of Coarctation of the Aorta

Aortic Coarctation and Pregnancy

Heart Disease in Pregnancy

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