Pregnancy and Coarctation of the Aorta

Anaesthetic management of aortic coarctation in pregnancy

“…11 Theodore et al 12 describe a remifentanil-based general anaesthetic technique for caesarean section in a parturient with recurrent aortic coarctation, resulting in a 20-mmHg gradient. Benny et al 13 describe a parturient with a congenital uncorrected aortic coarctation, gradient not reported, who had uneventful vaginal delivery facilitated by lumbar epidural analgesia. It was the considered obstetric opinion to deliver both our cases by caesarean section.…”

Pregnancy in women with congenital heart disease

“…Endocarditis prophylaxis should be considered in the peripartum period for patients with coarctation of the aorta. The risk that the newborn will have CHD varies from 4% to 23% [14,15].…”