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Obstetrics & Gynecology:
Case Reports

Coarctation of the Descending Thoracic Aorta Diagnosed During Pregnancy

Sherer, David M. MD

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BACKGROUND: Coarctation of the aorta is an uncommon condition complicating pregnancy. It is often associated with hypertension and usually involves the aortic isthmus.

CASE: Coarctation 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.

CONCLUSION: Unusual sites of coarctation of the aorta complicating pregnancy include the descending thoracic aorta.

© 2002 The American College of Obstetricians and Gynecologists


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