Pregnancy and childbirth in a patient with aortic coarctation

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Abstract

The article is devoted to one of the actual problems in obstetrics – the pregnancy follow-up in patients with structural cardiac pathology. The presented clinical case demonstrates a patient with congenital heart disease, inherited obstetrical and gynecological history and the COVID-19 infection during pregnancy.

Despite the clinically significant cardiac pathology, the patient delivered at full term of 37 weeks through the natural birth canal.

The analysis of the clinical case allows us to conclude that a favorable prognosis of pregnancy and childbirth in women with aortic coarctation is possible with the pregnancy follow-up and delivery in specialized cardiology centers.

About the authors

Anna V. Kazakova

Samara State Medical University

Email: a.v.kazakova@samsmu.ru
ORCID iD: 0000-0002-9483-8909

PhD, Associate professor, Department of Obstetrics and Gynecology at the Institute of Pediatrics, obstetrician-gynecologist at the Clinics of SamSMU

Russian Federation, Samara

Olga I. Lineva

Samara State Medical University

Email: o.i.lineva@samsmu.ru
ORCID iD: 0000-0003-4170-2167

PhD, Professor, Department of Obstetrics and Gynecology at the Institute of Pediatrics

Russian Federation, Samara

Anastasia K. Medvedskaya

Samara State Medical University

Email: anko.medvedskaya@gmail.com
ORCID iD: 0000-0001-9448-391X

the 6th year student of the Institute of Pediatrics

Russian Federation, Samara

Irina S. Kiyashko

Samara State Medical University

Email: i.s.kiyashko@samsmu.ru
ORCID iD: 0000-0002-1936-2322

PhD, Associate professor, Department of Obstetrics and Gynecology of the Institute of Pediatrics

Russian Federation, Samara

Maria A. Tsyganova

Samara Regional Clinical Cardiology Dispensary named after V.P. Polyakov

Email: tsyganova.m@mail.ru

Head of the Maternity Department

Russian Federation, Samara

Lyudmila I. Guleczkaya

Samara Regional Clinical Cardiology Dispensary named after V.P. Polyakov

Author for correspondence.
Email: parkaduel@mail.ru
ORCID iD: 0000-0002-1837-7696

Head of the Cardio-Obstetrics Day Hospital

Russian Federation, Samara

Ekaterina A. Zorina

Samara Regional Clinical Cardiology Dispensary named after V.P. Polyakov

Email: katerinzorina@gmail.com
ORCID iD: 0000-0002-3036-1259

Cardiologist of the Obstetric Observation Department

Russian Federation, Samara

Alina A. Khalmetova

Samara Regional Clinical Cardiology Dispensary named after V.P. Polyakov

Email: alina.lyoxina@yandex.ru
ORCID iD: 0000-0001-8311-8327

Cardiologist of the Cardiosurgical Department №11

Russian Federation, Samara

References

  1. Diagnosis and treatment of cardiovascular diseases during pregnancy 2018. National guidelines. Russian Journal of Cardiology. 2018;3:91-134. (In Russ.). [Диагностика и лечение сердечно-сосудистых заболеваний при беременности 2018. Национальные рекомендации. Российский кардиологический журнал. 2018;3:91-134]. doi: 10.15829/1560-4071-2018-3-91-1
  2. Drenthen W, Boersma E, Balci A, et al. Predictors of pregnancy complications in women with congenital heart disease. Eur Heart J. 2010;31(17): 2124-32.
  3. Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, et al. ESC Committee for Practice Guidelines. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J. 2011;32(24):3147-397. doi: 10.1093/eurheartj/ehr218
  4. Van Hagen IM, Boersma E, Johnson MR, et al. Global cardiac risk assessment in the Registry Of Pregnancy And Cardiac disease: results of a registry from the European Society of Cardiology. Eur J Heart Fail. 2016;18(5):523-33. doi: 10.1002/ejhf.501
  5. Bons LR, Roos-Hesselink JW. Aortic disease and pregnancy. Curr Opin Cardiol. 2016;31(6):611-7.

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Copyright (c) 2022 Kazakova A.V., Lineva O.I., Medvedskaya A.K., Kiyashko I.S., Tsyganova M.A., GULECZKAYA L.I., Zorina E.A., Khalmetova A.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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