Pregnancy and delivery in a patient with aortic prosthesis for Leriche syndrome.
BACKGROUND
Leriche syndrome is a thrombotic obliteration of the bifurcation of the aorta, a rare condition that usually affects older men as a result of atherosclerosis. Women of childbearing age rarely need a vascular prosthesis (as a result of Leriche syndrome or other conditions) and there is no literature on an association between Leriche syndrome/vascular prosthesis and pregnancy/labor/delivery.


METHODS
A case of pregnancy and delivery in a 38-year-old patient with Leriche syndrome and an aortoiliac prosthesis is presented. The patient had no complications during pregnancy, and was admitted to the maternity hospital when close to term, to begin heparin therapy. Labor ensued spontaneously and a normal vaginal delivery occurred, resulting in a healthy infant. The authors present their considerations regarding the delivery route and the rationale for deciding in favor of vaginal childbirth.
Hospital Maternidade Escola Dr. Mário de Moraes Altenfelder (Maternidade Escola de Vila Nova Cachoeirinha), Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil. nelsonsa.alp@zaz.com.br
Nelson
N
Sass
Antonio Henrique Moura
AH
Poli
Maria Regina
MR
Torloni
Paula Monteagudo Gabriela
PM
Gibim
Januário
J
de Andrade
Nilo Mitsuro
NM
Izukwa
D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D007743:Labor, Obstetric; D007925:Leriche Syndrome / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000601:surgery*