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[Aortic coarctation and pregnancy].

R García-Machado1, W Del Castillo

  • 1Servicio de Medicina Interna de la Maternidad Concepción Palacios, Caracas, Venezuela.

Archivos Del Instituto De Cardiologia De Mexico
|May 1, 1988
PubMed
Summary

Pregnancy is feasible and generally well-tolerated in women with coarctation of the aorta. Individual patient assessment is crucial, with obstetric management guiding delivery decisions for coarctation of the aorta.

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Lancet (London, England)·1975
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Area of Science:

  • Cardiology
  • Obstetrics
  • Maternal-Fetal Medicine

Context:

  • Coarctation of the aorta is a critical cardiovascular condition during pregnancy.
  • Limited data exists due to the condition's rarity and male predominance.
  • This study reviews cases from a Venezuelan maternity hospital (1968-1985).

Purpose:

  • To evaluate the feasibility and outcomes of pregnancy in patients with coarctation of the aorta.
  • To assess maternal tolerance, fertility, and perinatal outcomes.
  • To provide guidance on managing pregnancy in this patient population.

Summary:

  • Pregnancy is feasible in patients with coarctation of the aorta, with generally good gestation tolerance.
  • Fertility, prematurity, and perinatal morbidity/mortality were not adversely affected in this cohort.
  • Individual patient assessment is vital, considering associated circulatory conditions.

Impact:

  • Demonstrates that pregnancy can be successful in women with coarctation of the aorta.
  • Highlights the importance of individualized care and prioritizing obstetric criteria for delivery.
  • Informs clinical practice regarding the management of coarctation of the aorta in pregnant patients.

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