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April 26, 1965

Pregnancy and Coarctation of the Aorta

Author Affiliations

Green Turtle Cay, Abaco, Bahamas

JAMA. 1965;192(4):332. doi:10.1001/jama.1965.03080170060023

To the Editor:—  Drs. J. D. Mortensen and Homer S. Ellsworth discuss "Coarctation of the Aorta and Pregnancy" (JAMA191:596-598 [Feb 15] 1965) stating: "Although medical literature contains approximately 150 case reports describing the occurrence of pregnancy in women with coarctation of the aorta, most such reports have been concerned with complications in the mother of a single such pregnancy, hence giving little statistical information as to the overall incidence of either obstetrical or cardiovascular complications when these two circumstances coexist. Furthermore, no reports are available describing the course of pregnancies in women who have had coarctation of the aorta repaired surgically."I should respectfully like to point out that my monograph1 published in 1960 contains an analysis of 40 cardiovascular complications in 200 unoperated cases of coarctation in pregnancy and an analysis of maternal and fetal outcomes associated with surgical correction (50 performed prior to pregnancy and