European Heart Journal Advance Access published online on June 9, 2005
European Heart Journal, doi:10.1093/eurheartj/ehi338
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1 Department of Cardiology, Academic Medical Center, Room B2-240, PO Box 22700, 1100 DE Amsterdam, The Netherlands
* To whom correspondence should be addressed. Aims Nowadays, most women born with aortic coarctation reach childbearing age. However, data on outcome of pregnancy in women after repair of aortic coarctation are scarce. The aim of this study was to report on maternal and neonatal outcome of pregnancy in women after aortic coarctation repair. Methods and results The CONCOR national registry on congenital heart disease in The Netherlands was reviewed for women of childbearing age ( Conclusion Pregnancy is well tolerated in women after repair of aortic coarctation. However, an excess of miscarriages and hypertensive disorders of pregnancy were found.
Received December 23, 2004
Revised March 28, 2005
Accepted April 28, 2005
Clinical research
Outcome of pregnancy in patients after repair of aortic coarctation
2 Department of Cardiology, University Hospital, Groningen, The Netherlands
3 Department of Cardiology, Erasmus MC, Rotterdam, The Netherlands
4 Department of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam, The Netherlands
5
Department of Cardiology, Academic Medical Center, Room B2-240, PO Box 22700, 1100 DE Amsterdam, The Netherlands
Barbara J.M. Mulder, E-mail: b.j.mulder{at}amc.uva.nl
Abstract 
18 years old) with a history of aortic coarctation repair. Medical history and maternal, obstetrical, and neonatal outcome were determined. Fifty-four of the 100 women included had a history of pregnancy. The 54 women had 126 pregnancies resulting in 98 successful pregnancies, 22 miscarriages, and six abortions. The success rate was estimated as 0.778 (SE 0.002) including abortions and 0.817 (SE 0.002) excluding abortions. There were 85 vaginal deliveries, seven vaginal deliveries with epidural analgesia, and six caesarean sections. There were two neonatal deaths. A total of 26 pregnancies were complicated by a hypertensive disorder of pregnancy. There were 21 pregnancies in 14 women complicated by hypertension and five pregnancies in four women complicated by pre-eclampsia. The hypertension- and pre-eclampsia-probabilities were estimated as 0.183 (SE 0.285) and 0.061 (SE 0.211), respectively. During pregnancy, five patients had an increase 15 mmHg across the site of repair at echocardiography, but only one patient required reintervention for recoarctation after delivery. Four of the 98 children (4%) had a congenital heart defect.
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