• Obstetrics and gynecology · Nov 2002

    Case Reports

    Coarctation of the descending thoracic aorta diagnosed during pregnancy.

    • David M Sherer.
    • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, St. Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, New York 11203-2098, USA.
    • Obstet Gynecol. 2002 Nov 1;100(5 Pt 2):1094-6.

    BackgroundCoarctation of the aorta is an uncommon condition complicating pregnancy. It is often associated with hypertension and usually involves the aortic isthmus.CaseCoarctation of the descending thoracic aorta was found at 21 weeks' gestation after physical findings of hypertension, a holosystolic murmur over the entire left hemithorax, and diminished lower extremity pulses. The diagnosis led to thoracotomy and placement of a graft bypass after an otherwise uneventful pregnancy.ConclusionUnusual sites of coarctation of the aorta complicating pregnancy include the descending thoracic aorta.

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