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Cited by 284

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Coarctation of the aorta: outcome of pregnancy

Open access
Beauchesne, Luc M, Connolly, Heidi M, Ammash, Naser M, Warnes, Carole A·2001·Journal of the American College of Cardiology

Abstract

OBJECTIVES The study sought to determine the outcome of pregnancy in women with coarctation of the thoracic aorta. BACKGROUND Patients with coarctation of the thoracic aorta are expected to reach childbearing age, but data on the outcome of pregnancy in this population are limited. METHODS The Mayo Clinic database was reviewed for women of childbearing age (> or =16 years old) with a diagnosis of aortic coarctation evaluated from 1980 to 2000. Spectrum of cardiovascular disease, surgical history, and obstetrical and neonatal outcomes were determined. RESULTS Fifty women with coarctation had pregnancies: 30 had coarctation repair before pregnancy, 10 had repair after pregnancy, 4 had repair both before and after pregnancy, and 6 had no history of repair. The 50 women had 118 pregnancies resulting in 106 births. There were 11 miscarriages (9%), 4 premature deliveries (3%), and 1 early neonatal death; 38 deliveries (36%) were by cesarean section. Of the 109 offspring, 4 (4%) had congenital heart disease. A patient with Turner syndrome died of a Stanford type A dissection at 36 weeks of pregnancy. Nineteen women (38%) were known to have hemodynamically significant coarctation during pregnancy (gradient > or =20 mm Hg). Fifteen women (30%) had hypertension during their pregnancy, 11 of whom (73%) had hemodynamically significant coarctation during that time (8 with native and 3 with residual/recurrent coarctation). CONCLUSIONS Major cardiovascular complications were infrequent but continue to be a source of concern for patients with coarctation who become pregnant. Systemic hypertension during pregnancy was common and related to the presence of a significant coarctation gradient.

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Metadata

Authors
Beauchesne, L. M., Connolly, H. M., Ammash, N. M., & Warnes, C. A.
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2001-11
Volume
38
Issue
6
Pages
1728-1733
ISSN
0735-1097 (ISSN-L)
OpenAlex
W2154702332
Cited by
284
References
13
FWCI
5.90
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Coarctation of the aorta: outcome of pregnancy. https://app.cochat.ai/papers/10.1016/s0735-1097(01)01617-5
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Beauchesne, L. M., Connolly, H. M., Ammash, N. M., & Warnes, C. A. (2001). Coarctation of the aorta: outcome of pregnancy. Journal of the American College of Cardiology. https://doi.org/10.1016/s0735-1097(01)01617-5

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