title: Transcatheter therapy for aortic coarctation with severe systemic hypertension during pregnancy.
abstract: 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.
authors.affiliation: Cardiologie Pédiatrique, Hôpital de la Timone-Enfants, 13385, Marseille Cedex 05, France.
authors.forename: Anass
authors.initials: A
authors.lastname: Assaidi
authors.forename: Pascal
authors.initials: P
authors.lastname: Sbragia
authors.forename: Alain
authors.initials: A
authors.lastname: Fraisse
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001027:Aortography; D062186:Arterial Pressure / Q000187:drug effects; D006328:Cardiac Catheterization; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D050498:Live Birth; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents