Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report

A 23-year-old primigravida was referred to our clinic for evaluation of high blood pressure (BP) in her 16th week of gestation. She had an operation to repair congenital aortic coarctation and patent ductus arteriosus 8 years ago. On physical examination the blood pressure in upper extremity was 155...

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Main Authors: Celal Yavuz, Hatice Ender Soydinc, Güven Tekbaş, Oguz Karahan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2012/865035
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author Celal Yavuz
Hatice Ender Soydinc
Güven Tekbaş
Oguz Karahan
author_facet Celal Yavuz
Hatice Ender Soydinc
Güven Tekbaş
Oguz Karahan
author_sort Celal Yavuz
collection DOAJ
description A 23-year-old primigravida was referred to our clinic for evaluation of high blood pressure (BP) in her 16th week of gestation. She had an operation to repair congenital aortic coarctation and patent ductus arteriosus 8 years ago. On physical examination the blood pressure in upper extremity was 155/95 and in lower extremity was 90/55 mmHg, and heart rate was 93 beats/min. Transthoracic echocardiography showed narrowing of the descending aorta, the diameter of the aortic arch was 10.60 mm and an echocardiographic gradient was 96 mmHg. During the pregnancy (from 16 weeks to 38 weeks) BP was regulated with metoprolol. Cesarean section delivery was applied at 38 weeks of gestation. There was no complication in postpartum period. Spinal anesthesia application was used for caesarean section intervention and healthy female baby was delivered with the APGAR scores of 10/10. Herein the diagnosis of aortic coarctation is reviewed and the management when found during pregnancy is discussed.
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institution Kabale University
issn 2090-6986
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publishDate 2012-01-01
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series Case Reports in Vascular Medicine
spelling doaj-art-abe59974888146228ab1aaeb3d36bc532025-02-03T01:03:44ZengWileyCase Reports in Vascular Medicine2090-69862090-69942012-01-01201210.1155/2012/865035865035Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case ReportCelal Yavuz0Hatice Ender Soydinc1Güven Tekbaş2Oguz Karahan3Department of Cardiovascular Surgery, Faculty of Medicine, Dicle University, 21280 Diyarbakir, TurkeyDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Dicle University, 21280 Diyarbakir, TurkeyDepartment of Radiology, Faculty of Medicine, Dicle University, 21280 Diyarbakir, TurkeyDepartment of Cardiovascular Surgery, Faculty of Medicine, Dicle University, 21280 Diyarbakir, TurkeyA 23-year-old primigravida was referred to our clinic for evaluation of high blood pressure (BP) in her 16th week of gestation. She had an operation to repair congenital aortic coarctation and patent ductus arteriosus 8 years ago. On physical examination the blood pressure in upper extremity was 155/95 and in lower extremity was 90/55 mmHg, and heart rate was 93 beats/min. Transthoracic echocardiography showed narrowing of the descending aorta, the diameter of the aortic arch was 10.60 mm and an echocardiographic gradient was 96 mmHg. During the pregnancy (from 16 weeks to 38 weeks) BP was regulated with metoprolol. Cesarean section delivery was applied at 38 weeks of gestation. There was no complication in postpartum period. Spinal anesthesia application was used for caesarean section intervention and healthy female baby was delivered with the APGAR scores of 10/10. Herein the diagnosis of aortic coarctation is reviewed and the management when found during pregnancy is discussed.http://dx.doi.org/10.1155/2012/865035
spellingShingle Celal Yavuz
Hatice Ender Soydinc
Güven Tekbaş
Oguz Karahan
Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
Case Reports in Vascular Medicine
title Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
title_full Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
title_fullStr Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
title_full_unstemmed Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
title_short Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report
title_sort pregnancy complicated with severe recurrent aortic coarctation a case report
url http://dx.doi.org/10.1155/2012/865035
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AT haticeendersoydinc pregnancycomplicatedwithsevererecurrentaorticcoarctationacasereport
AT guventekbas pregnancycomplicatedwithsevererecurrentaorticcoarctationacasereport
AT oguzkarahan pregnancycomplicatedwithsevererecurrentaorticcoarctationacasereport