Management of Severe Coarctation of the Aorta During Pregnancy

Colette M. Ciresi, Pooja R. Patel, Stephanie M. Asdell, Kali A. Hopkins, Mark H. Hoyer, W. Aaron Kay
2020 JACC Case Reports  
An 18-year-old primigravida woman underwent emergent percutaneous balloon stent repair of a severe coarctation of the aorta, allowing her to undergo an uneventful remaining pregnancy and the delivery of a healthy baby. Her case also demonstrates the association between maternal coarctation and fetal Shone complex. (Level of Difficulty: Beginner.) (J Am Coll Cardiol Case Rep 2020;2:116-9) (A) Prior to stent placement, the ascending aorta and transverse arch were dilated and aliased color flow
more » ... iased color flow across the coarctation site (arrow) with a peak velocity of 3.5 m/s. (B) Flow is significantly improved across the stented area, with a peak velocity of 1.5 m/s.
doi:10.1016/j.jaccas.2019.11.060 fatcat:n5nsqhcz6jh7bjqnpn6qyzggsu