Perioperative management of a pregnant woman with coarctation of aorta

Heart disease in pregnancy is the leading indirect cause of maternal mortality.1 Coarctation of aorta is a rare condition found in pregnant mothers and they are at extremely high risk of life-threatening maternal or fetal events at any given time. Management of these mothers should be done at specialized maternity hospitals, under the care of a multidisciplinary team. Anesthetists are involved at various stages of the management of these mothers, especially during the peripartum period. Here we are presenting a case history of a 20-year-old primipara, who was found to have coarctation of the aorta at first trimester and underwent uncomplicated cesarean section at POA of 31+5.