0390 : Vascular emergencies revealing a coarctation of the aorta in pregnant women

Coarctation of the aorta is defined as a circular narrowing at the junction of the aortic arch and descending aorta, opposite the start of the ducts arteriosus. It represents 6-8% of congenital heart disease. It represents the first etiology of congenital heart disease in pregnant women. We report in this paper, two cases of coarctation of the aorta complicated in pregnant women, collected within the maternal resuscitation Lalla Meryem in Ibn Rochd UH center of Casablanca. The complications occurring during this condition makes the poor prognosis. Thus, the incidence of hypertension and pre-eclampsia is higher, putting them at risk of aortic dissection and rupture, rupture of cerebral aneurysm and heart failure. Infective endocarditis is rare but it is a serious complication. Preterm delivery is not common in coarctation of the aorta as well as Fetal growth retardation. While the incidence of miscarriages and abortions is much higher. The management of these patients is based on a good understanding of the specific risks to the coarctation of the aorta, pregnancy planning and a multidisciplinary approach involving the cardiologist, the anesthesiologist, the intensivist, the Gynecologic obstétrien, the neonatologist and pediatrician. Research factor for cardiovascular risk is an essential part of monitoring of pregnancies. A preconception assessment and appropriate care throughout pregnancy are necessary to avoid a late diagnosis of this disease and an acute decompensation whose prognosis remains severe for mother and fetus. The cure reference coarctation of the aorta is surgical treatment to take place before the pregnancy. The angioplasty finds its place in the restenosis. Above all through, preventing the coarctations of the aorta complicated must be systematically and repeatedly search in the young age, raising the problematic of congenital cardiopathies detection in Morocco