Congenital Heart Lesions
Coartation of the aorta
Download Coarctation of the Aorta.pdf
Signs and symptoms of deterioration
- Rapid breathing
- Shortness of breath
- Persistent headaches
- Abdominal and leg cramps
- Decreased urinary output
If you frequently experience one of these signs and symptoms, call your cardiologist as soon as possible.
If you have a repaired coarctation of the aorta, you should regularly exercise.
However, if you are known to have hypertension, you should avoid extreme exercises. Check with your cardiologist for your specific limitations.
Antibiotics are needed before particular dental and surgical procedures.
You should always maintain good oral hygiene in order to prevent infection.
Pregnancy and contraception
Pregnancy carries morbitity and mortality risks. The risks are greater if you don’t have a repaired coarctation.
With a repaired coarctation, the risks are lower.
In both cases, you should discuss with your cardiologist and have a strict cardiac follow-up if you plan to be pregnant.
Risks of transmission
| 1 child affected ||2%|
|2 children affected ||15%|
| 3 children affected ||50%|
| Mother with malformation
||Up to 15%|
|Father with malformation
||Up to 12%|
| Marfan’s Syndrome, bicuspid valves ||Up to 50%|
These numbers are approximate. A fetal echocardiogram is recommended between the 18th and the 20th week of pregnancy to detect possible cardiac malformations in the baby.
The risk of transmission varies according to the family antecedents. In case of doubts, a consultation with a geneticist is recommended in order to precisely calculate the risks and to make specific recommendations.
Prepared by: Marie-Joëlle Boucher et. Scinf., Nathalie Comtois Rn, BSc