KEVYN DEAL, B.S.; CHARLES F. WOOLEY, M.D., F.A.C.P.
The obstetrical experience of 28 women with unoperated coarctation of the aorta and 83 pregnancies was evaluated along with that of 83 women with 185 pregnancies reported in the recent medical literature. Mendelson's report of the clinical experiences with 200 women (with 14 maternal deaths) before 1960 was reviewed. His recommendations for routine sterilization, cesarean section, and therapeutic abortion of these patients are reconsidered. Our observations and those from recent studies in the clinical literature suggest that the risk of pregnancy to women with coarctation is not as great as once thought. Pregnant women with coarctation should be managed individually, with consideration of functional cardiac status, past history, associated defects, and severity of the coarctation. The lack of predictive tests for intrinsic disease of the ascending aorta, which could lead to aortic dissection if there is coarctation of the aorta (either before or after resection of the coarctation), precludes generalization and recommendations at this time.
KEVYN DEAL, CHARLES F. WOOLEY. Coarctation of the Aorta and Pregnancy. Ann Intern Med. 1973;78:706–710. doi: 10.7326/0003-4819-78-5-706
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Published: Ann Intern Med. 1973;78(5):706-710.
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