Uncorrected aortic coarctation in a pregnant patient
DOI:
https://doi.org/10.18270/rsb.v11i2.2920Keywords:
pregnancy, perinatology, cardiology, aortic coarctation, pregnancy complications, cardiovascularAbstract
Aortic coarctation accounts for 4% to 6% of congenital heart defects, ranking seventh in the list of all congenital heart diseases. It is characterized by a discrete narrowing, usually in the descending portion of the aortic arch and distal to the left subclavian artery. Pregnant patients with aortic coarctation present a higher risk of complications: rupture or dissection of the aorta, aneurysms in the polygon of Willis and endocarditis. Therefore, defining correct and preventive treatment during pregnancy as well as the way of delivery is important.
We present the clinical case of a patient with a history of uncorrected aortic coarctation and diagnosis of pree- clampsia, highlighting the process of care, diagnostic approach and integrated handling during hospitalization. A literature review and critical analysis of the case are also presented. It can be concluded that uncorrected aortic coarctation generates multiple complications; the importance of preconception consultation is highlighted and, in the absence of contraindications, carry out adequate multidisciplinary control by maternal-fetal medicine, car- diology and haemodynamics.
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