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Transcatheter therapy for aortic coarctation with severe systemic hypertension during pregnancy
Author(s) -
Assaidi Anass,
Sbragia Pascal,
Fraisse Alain
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24404
Subject(s) - medicine , pregnancy , balloon , blood pressure , cardiology , surgery , adverse effect , genetics , biology
Aortic coarctation is an unusual cause of hypertension during pregnancy and its management is not clarified. We report transcatheter balloon dilatation and stenting for native aortic coarctation in a 22‐year‐old pregnant woman with severe and uncontrolled systemic hypertension. Arterial blood pressure could be successfully controlled with medical treatment during the rest of the pregnancy and the patient underwent uneventful delivery. No adverse events or recoarctation was observed during 24 months clinical follow‐up. In conclusion, native aortic coarctation can be successfully treated during pregnancy with transcatheter therapy. More experience is needed to confirm the safety and efficacy of such management. © 2012 Wiley Periodicals, Inc.