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March 31, 2026Journal of Cardiothoracic and Vascular Anesthesia0 citationsOpen Access

Recurrent Aortic Coarctation Unmasked During the Second Trimester of Pregnancy

MMMadan Mohan MaddaliRMRahma Mohammed Al MaktoumiIAIs’haq Al Aamri

Key Result

Balloon angioplasty successfully reduced the invasive transcoarctation gradient from 35 mm Hg to 9 mm Hg in a 28-year-old pregnant woman with recurrent aortic coarctation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 pregnant woman (28-year-old, gravida 2 para 1) at 20 weeks' gestation with previously repaired aortic coarctation, presenting with exertional dyspnea, progressive lower limb claudication, and systemic hypertension.
I
Intervention
Urgent cardiac catheterization with balloon angioplasty (Armada 12 x 40-mm balloon) under general anesthesia with dual-site NIRS and fetal Doppler monitoring.
O
Outcome
Reduction in transcoarctation gradient and procedural safety.

Pregnancy-associated cardiovascular adaptations can unmask previously compensated congenital cardiac lesions like aortic coarctation, which can be safely managed with balloon angioplasty during the second trimester.

Main Result

Absolute Event Rate: 9% vs 35%

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Cite This Study

Maddali et al. (2026) conducted a case report in Recurrent aortic coarctation during pregnancy (n=1). Balloon angioplasty vs. Baseline (pre-intervention) was evaluated on Transcoarctation gradient (mm Hg). Balloon angioplasty successfully reduced the invasive transcoarctation gradient from 35 mm Hg to 9 mm Hg in a 28-year-old pregnant woman with recurrent aortic coarctation.

synapsesocial.com/papers/6a025cd3edf6f48138594a24https://doi.org/10.1053/j.jvca.2026.03.036
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