A 27-year-old pregnant woman with repaired aortic coarctation and coexisting hypertrophic cardiomyopathy developed shunt failure and acute pulmonary edema, necessitating emergency pregnancy termination.
Case Report (n=1)
No
Highlights the cardiovascular risk classification (mWHO) for pregnant women with concurrent aortic coarctation and hypertrophic cardiomyopathy.
Pregnancy outcomes are negatively impacted by hypertrophic cardiomyopathy (HCM) and aortic coarctation (CoA), two distinct and independent cardiovascular conditions. Aortic aneurysms, hypertension, ischemic stroke, and re-coarctation are among high rates of cardiac complications seen in patients with repaired CoA. Modified World Health Organization (mWHO) maternal cardiovascular risk classification now categorizes pregnant women with repaired CoA in mWHO class III, whereas those with unrepaired severe CoA have been classified in mWHO class IV. Patients with HCM are categorized as mWHO II–III based on whether they have left ventricular outflow obstruction.
Natarajan et al. (Tue,) conducted a case report in Aortic Coarctation and Hypertrophic Cardiomyopathy in pregnancy (n=1). Medical termination of pregnancy was evaluated. A 27-year-old pregnant woman with repaired aortic coarctation and coexisting hypertrophic cardiomyopathy developed shunt failure and acute pulmonary edema, necessitating emergency pregnancy termination.
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