Acta obstetricia et gynecologica Scandinavica
-
Acta Obstet Gynecol Scand · Jul 1993
Case ReportsFetomaternal blood flow measurements and management of combined coarctation and aneurysm of the thoracic aorta in pregnancy.
A pregnant patient presented at 21 weeks of gestation with severe coarctation of the aorta and a large aneurysm (5.4 cm) of the ascending aorta. The patient developed hypertension at gestation week 17. Continuous Doppler wave velocimetry showed a low systolic/diastolic (S/D) ratio in the uterine arteries indicating reduced blood flow to the placenta. ⋯ A normal S/D ratio in the uterine arteries indicated increased blood flow in the uterine arteries. A healthy female was born. Pregnant patients with coarctation of the aorta should have surgical correction preferably in the first or second trimesters.