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Aortic Coarctation

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Pregnancy and Congenital Heart Disease

Part of the book series: Congenital Heart Disease in Adolescents and Adults ((CHDAA))

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Abstract

Coarctation of the aorta is a part of a generalized arteriopathy with typical circumscript narrowing of the aorta, most commonly located in the area of insertion of the ductus arteriosus. Due to the widespread availability of timely repair we are experiencing increasing numbers of pregnancies in women with previous corrected coarctation. Moreover, unrecognized aortic coarctation may also present for the first time during pregnancy. Treatment options, conservative, surgical or interventional, depend on the haemodynamic impact of the coarctation, the patient´s symptoms, the degree of upper limb arterial hypertension, the gestational age and the potential for foetal compromise due to restricted uteroplacental perfusion. Treatment decision should be made by multidisciplinary team.

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Abbreviations

ACE:

Angiotensin-converting enzyme

MRI:

Magnetic resonance imaging

WHO:

World Health Organization

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Author information

Authors and Affiliations

  1. Department of Cardiovascular Disease, University of Zagreb School of Medicine, University Hospital Centre, Zagreb, Croatia

    Margarita Brida MD, PhD

  2. Division of Adult Congenital and Valvular Disease, University Hospital Muenster, Münster, Germany

    Margarita Brida MD, PhD

  3. Department of Cardiovascular Disease, Division of Adult Congenital and Valvular Disease, University Hospital, Münster, Germany

    Gerhard-Paul Diller MD, PhD

  4. Imperial College London, London, UK

    Gerhard-Paul Diller MD, PhD

Authors
  1. Margarita Brida MD, PhD
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  2. Gerhard-Paul Diller MD, PhD
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Corresponding author

Correspondence to Gerhard-Paul Diller MD, PhD .

Editor information

Editors and Affiliations

  1. Erasmus MC University Medical Center, Rotterdam, Gelderland, The Netherlands

    Jolien W. Roos-Hesselink

  2. Chelsea and Westminster Hospital, London, United Kingdom

    Mark R. Johnson

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Brida, M., Diller, GP. (2017). Aortic Coarctation. In: Roos-Hesselink, J., Johnson, M. (eds) Pregnancy and Congenital Heart Disease. Congenital Heart Disease in Adolescents and Adults. Springer, Cham. https://doi.org/10.1007/978-3-319-38913-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-38913-4_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-38911-0

  • Online ISBN: 978-3-319-38913-4

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