Outcome of pregnancy following intervention for coarctation of the aorta

Outcome of pregnancy following intervention for coarctation of the aorta

There are limited data regarding the outcome of pregnancy in women after intervention for coarctation of the aorta (CoA). The Texas Children’s Hospital Cardiac Database was used to identify female patients with CoA born before 1980 who had undergone balloon angioplasty or surgery. Patients with Turn...

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Bibliographic Details
Published in:The American journal of cardiology Vol. 82; no. 6; pp. 786 - 788
Main Authors: Saidi, ArwaS, Bezold, LouisI, Altman, CarolynA, Ayres, NancyA, Bricker, J.Timothy
Format: Journal Article
Language:English
Published: New York, NY Elsevier Inc 15-09-1998
Elsevier
Elsevier Limited
Subjects:
Adolescent
Adult
Angioplasty, Balloon
Aortic Coarctation - therapy
Biological and medical sciences
Cardiovascular disease
Child
Child, Preschool
Female
Follow-Up Studies
Heart
Humans
Infant
Infant, Newborn
Intervention
Male
Medical sciences
Pregnancy
Pregnancy Complications, Cardiovascular - therapy
Pregnancy Outcome
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Surveys and Questionnaires
Human
Aortic coarctation
Prognosis
Instrumentation therapy
Cuffed tube
Cardiovascular disease
Instrumental dilatation
Congenital disease
Long term
Vascular disease
Pregnancy
Concomitant disease
Treatment
Malformation
Surgery
Aorta
Evolution
Aortic disease
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Summary:There are limited data regarding the outcome of pregnancy in women after intervention for coarctation of the aorta (CoA). The Texas Children’s Hospital Cardiac Database was used to identify female patients with CoA born before 1980 who had undergone balloon angioplasty or surgery. Patients with Turner’s syndrome and cyanotic congenital heart disease were excluded. A chart review and telephone interview were performed. Data collected included age at intervention, type of intervention, the need for reintervention, functional status, number of pregnancies, and pregnancy outcomes. Seventy-four patients met our criteria and we were able to contact 52. Eighteen patients (39%) were pregnant a total of 36 times. There were 3 spontaneous and 4 elective abortions. Preeclampsia complicated 4 pregnancies in 3 women (17% of primigravidas). One patient had systemic hypertension. Eleven infants were delivered by Cesarean section. There were 29 births, with an average weight of 3.0 kg. There were 5 preterm births, 4 to a teenage mother. Only 1 child (3%) had a congenital heart defect. Thus, in women with an arm-to-leg blood pressure gradient of <20 mm Hg after CoA repair, pregnancy is successful. The occurrence of congenital heart disease in the offspring was 3%. Preeclampsia was similar to that in the general population.
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ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(98)00443-3