Pregnancy in a patient with coarctation of the aorta: a case study

Abstract

Coarctation of the aorta (CoA) is a congenital malformation, which if severe is usually diagnosed and corrected early in life. However, it can be discovered in later childhood or even adulthood. This article presents a case of an incidental finding of CoA in a previously asymptomatic young woman who first presented at the age of 14 with a severe headache and marked systemic hypertension. Diagnostic investigations revealed severe CoA and a bicuspid aortic valve (an associated lesion). She went on to have aortic stent implantation and subsequently required surgery. At a later date she had an unplanned pregnancy and, in view of her history, she required close antenatal monitoring and care from a multidisciplinary team. This case study highlights the integral role of clinical nurse specialists as part of the multidisciplinary team, to educate and inform congenital heart disease patients throughout various stages of their lives.