Significant infrarenal aortic stenosis in pregnancy: a case report

Autor:	Edmund Y. M. Chung, Amanda Mather, Anushree Tiku, Sean Seeho
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Adult medicine.medical_specialty Calcium-Regulating Hormones and Agents Computed Tomography Angiography Pregnancy Complications Cardiovascular Coarctation of the aorta lcsh:Medicine Case Report 030204 cardiovascular system & hematology Preeclampsia 03 medical and health sciences 0302 clinical medicine Pre-Eclampsia Pregnancy medicine Humans Arteritis Past medical history Aspirin Cesarean Section business.industry Obstetrics lcsh:R Headache Pregnancy Outcome Aortic Valve Stenosis General Medicine medicine.disease Proteinuria Stenosis Blood pressure 030220 oncology & carcinogenesis Hypertension Gestation Calcium Female business Platelet Aggregation Inhibitors
Zdroj:	Journal of Medical Case Reports, Vol 13, Iss 1, Pp 1-4 (2019) Journal of Medical Case Reports
ISSN:	1752-1947
DOI:	10.1186/s13256-019-2057-0
Popis:	Background Hypertension is common in pregnant women presenting with aortic coarctation or Takayasu’s arteritis. Uncontrolled hypertension leads to increased adverse maternal and neonatal events. Case presentation A 36-year-old gravida 2, para 1 Caucasian woman presented at 9 weeks of gestation with headaches but normal blood pressure. She had a past medical history of an in vitro fertilization pregnancy complicated by preeclampsia at 27 weeks of gestation (birth weight 1900 g) and infrarenal aortic stenosis. In the current pregnancy, she received aspirin and calcium as preeclampsia prophylaxis, remained normotensive throughout pregnancy, and was delivered by elective cesarean section at 37 weeks without complications. Conclusions This case demonstrates a significant chronic aortopathy in pregnancy with normal fetal growth and uterine blood flow through collateral supply from the internal mammary and epigastric arteries. Electronic supplementary material The online version of this article (10.1186/s13256-019-2057-0) contains supplementary material, which is available to authorized users.
Databáze:	OpenAIRE
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