What are the special considerations in pregnant patients with a history of coarctation of the aorta (CoA)?

Updated: Nov 20, 2018
  • Author: Syamasundar Rao Patnana, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

Special concerns

After successful repair of coarctation of the aorta, pregnancy should be well tolerated. [31] Prenatal care should include careful monitoring of blood pressure (BP), since hypervolemia in pregnancy may contribute to worsening hypertension, especially in patients with some degree of residual obstruction or preexisting hypertension. The presence of other associated lesions, such as aortic valve disease, may further complicate obstetrical management. Anecdotal cases document aortic rupture during pregnancy.


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