Fadouach S, Azzouzi L, Tahiri A, Chraibi N
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
Ann Cardiol Angeiol (Paris). 1994 May;43(5):262-5.
Classically, coarctation of the aorta is poorly tolerated during pregnancy or at least is associated with a risk of rupture of the aorta, rupture of a cerebral aneurysm or, more rarely, cardiac failure or bacterial infection. The authors turned their attention to this association of coarctation of the aorta and pregnancy in the light of 3 cases of pregnancy brought to term in the Department of Cardiology of the Ibn Rochd Teaching Hospital Group, Casablanca, Morocco. During a 10 year period, 20 patients were hospitalised in the department with coarctation of the aorta. There were 10 women, 3 of them pregnant. The mean age of these women was 26, with a range of 24 to 30. All patients had a normal pregnancy, delivery and post-partum, with neither cardiovascular, renal nor cerebral complications. There were no maternal deaths, ruptures of the aorta, cerebrovascular accidents, bacterial infections nor myocardial failure. All the pregnancies were brought to term. One patient was delivered vaginally with the use of forceps after full dilatation facilitating expulsion. One cesarean section with extraction of a live infant was induced at 38 weeks. One patient was lost to follow-up at 7 months and was seen again only after delivery at home, i.e. without supervision but equally without complications. The 3 newborn infants had an Apgar of 10/10 and a birth weight of 3.2-3.5 kilos. There were no spontaneous abortions and no premature deliveries.(ABSTRACT TRUNCATED AT 250 WORDS)
传统上，主动脉缩窄在孕期耐受性较差，或者至少与主动脉破裂、脑动脉瘤破裂风险相关，更罕见的是与心力衰竭或细菌感染有关。鉴于摩洛哥卡萨布兰卡伊本·罗什德教学医院集团心脏病科有3例足月妊娠病例，作者将注意力转向主动脉缩窄与妊娠的这种关联。在10年期间，该科室收治了20例主动脉缩窄患者。其中有10名女性，3名怀孕。这些女性的平均年龄为26岁，年龄范围在24岁至30岁之间。所有患者孕期、分娩及产后均正常，无心血管、肾脏及脑部并发症。无孕产妇死亡、主动脉破裂、脑血管意外、细菌感染及心肌衰竭情况。所有妊娠均足月。1例患者在宫口完全扩张后使用产钳经阴道分娩。1例在38周时行剖宫产取出活婴。1例患者在7个月时失访，仅在家中分娩后才再次被发现，即没有监护但同样没有并发症。3名新生儿阿氏评分均为10分，出生体重为3.2至3.5千克。无自然流产和早产情况。（摘要截选至250字）
