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PREGNANCY AND COARCTATION OF THE AORTA

COARCTATION of the aorta accounts for 7 per cent of all cases of congenital heart disease and occurs at least twice as commonly in males as in females (Szekely and Snaith, 1974). Early diagnosis and operative treatment should have resulted in decreasing numbers of women reaching their reproductive years with untreated coarctation. We present a case of coarctation of the aorta first diagnosed during pregnancy. The use of anti-hypertensive therapy in the antenatal period and epidural anaesthesia during labour to control hypertension is discussed.