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Case Reports in Vascular Medicine
Volume 2012 (2012), Article ID 865035, 3 pages
http://dx.doi.org/10.1155/2012/865035
Case Report

Pregnancy Complicated with Severe Recurrent Aortic Coarctation: A Case Report

1Department of Cardiovascular Surgery, Faculty of Medicine, Dicle University, 21280 Diyarbakir, Turkey
2Department of Obstetrics and Gynaecology, Faculty of Medicine, Dicle University, 21280 Diyarbakir, Turkey
3Department of Radiology, Faculty of Medicine, Dicle University, 21280 Diyarbakir, Turkey

Received 24 August 2012; Accepted 11 October 2012

Academic Editors: N. Espinola-Zavaleta, P. Georgiadou, and T. Sasajima

Copyright © 2012 Celal Yavuz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.