Aortic coarctation in pregnancy
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
GORM:Gynecology Obstetrics & Reproductive Medicine
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Aort koarktasyonu konjenital kalp hastalıkları arasında yaklaşık %5-7 sıklığında saptanır. Klinik tanı femoral arter pulsasyonunun alınamaması, koarktasyonun distalindeki bölgede düşük arteriyel kan basıncı ve proksimalindeki alanlarda hipertansiyon saptanması ile konur. Hastalığın çoğunun erkeklerde saptanması ve tanı konan olguların çocukluk döneminde cerrahi olarak düzeltilmesi nedeniyle gebelikte görülme insidansı düşüktür. Gebelik aortik rüptür veya diseksiyon ve Willis anevrizma rüptürüne bağlı serebral hemoraji riskini artırdığı için maternal morbidite oldukça yüksektir. Konsepsiyon öncesi cerrahi onarım, gebelik boyunca aortik komplikasyon gelişiminin yanısıra, intrauterin gelişme geriliği ve konjenital kalp hastalığı gibi fetal komplikasyonları da azaltır. Gebeliğin prognozu biküspid aortik valv gibi enfektif endokardite neden olabilen diğer malformasyonların varlığına bağlıdır. Komplike olmayan koarktasyon ve gebelik olgularında vajinal doğum genelikle problemsiz seyreder, sezaryen komplike olgularda ve obstetrik endikasyon varlığında yapılır. Gebelik ve aort koarktasyon birlikteliği nadir görüldüğü için olgu sunumu olarak hazırladık ve literatürü gözden geçirdik.
Abstract: To present a pregnant woman with coarctation of aorta; to discuss and review the literature. A 20-year-old nulliparous woman presented with hypertension at term pregnancy. Physical examination revealed a blood pressure of 228/90 mmHg on right arm and 137/94 mmHg on left arm. 2/6 systolic murmur on aortic and mesocardiac area and pansystolic murmur on interscapular area were detected. Left femoral arterial pulsation was absent. Echocardiography revealed an ejection fraction of 67%, second degree aortic insufficiency and normal left ventricular function. Pregnancy has been terminated by cesarean section because of unfavorable Bishop's score and also in order to avoid expected transient blood pressure changes during labor. A 3300 gr healthy male fetus was delivered. The patient recovered uneventfully; no complications were observed. Coarctation of aorta in pregnancy may have serious complications for both mother and fetus. These patients should be monitorised carefully. Operation for correction of coarctation ma y be necessary. Cesarean section is usually preferred for delivery, however vaginal delivery is also performed to uncomplicated cases with absence of obstetric indications for cesarean section.
Abstract: To present a pregnant woman with coarctation of aorta; to discuss and review the literature. A 20-year-old nulliparous woman presented with hypertension at term pregnancy. Physical examination revealed a blood pressure of 228/90 mmHg on right arm and 137/94 mmHg on left arm. 2/6 systolic murmur on aortic and mesocardiac area and pansystolic murmur on interscapular area were detected. Left femoral arterial pulsation was absent. Echocardiography revealed an ejection fraction of 67%, second degree aortic insufficiency and normal left ventricular function. Pregnancy has been terminated by cesarean section because of unfavorable Bishop's score and also in order to avoid expected transient blood pressure changes during labor. A 3300 gr healthy male fetus was delivered. The patient recovered uneventfully; no complications were observed. Coarctation of aorta in pregnancy may have serious complications for both mother and fetus. These patients should be monitorised carefully. Operation for correction of coarctation ma y be necessary. Cesarean section is usually preferred for delivery, however vaginal delivery is also performed to uncomplicated cases with absence of obstetric indications for cesarean section.
Açıklama
Yıl: 2002Cilt: 8Sayı: 2ISSN: 1300-4751 / 2602-4918Sayfa Aralığı: 132 - 133Metin Dili:İngilizce
Anahtar Kelimeler
Kaynak
GORM:Gynecology Obstetrics & Reproductive Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
8
Sayı
2
Künye
BURAK F,ATMACA R,DURMUŞ M,BOZ M,KAFKASLI A (2002). Aortic coarctation in pregnancy. GORM:Gynecology Obstetrics & Reproductive Medicine, 8(2), 132 - 133.
