Objective. To evaluate cardiological symptoms during pregnancy and delivery in pregnant women who were operated on at the age of 9.4 years (on average) for aortic coarctation at the typical site. Subject and methods. Fifteen patients who had undergone surgical treatment for aortic coarctation at the age of 2.3 to 21 years (mean 9.4 years) and had 18 pregnancies and deliveries (3 patients were twice-parous) have been followed up in 2006 to 2014. Aortic coarctation was concurrent with other congenital heart diseases in 11 patients. Anamnestic, clinical, laboratory, electrocardiographic, and Doppler echocardiographic studies and nuclear magnetic resonance imaging were used. Results. The residual pressure gradient at the site of surgery during pregnancy was found to be normal (9.3±3.7 mm Hg) in 12 patients and high in 3 patients who had signs of recoarctation. The signs of left ventricular hypertrophy and volume overload were pronounced only in the pregnant women with concomitant aortic valve disease. Resection of a narrowed aortic segment with end-to-end anastomosis was adequate in most cases to allow for carrying of a pregnancy; permanent high blood pressure was rare; and the development of low pressure gradient recoarctation had no independent impact on the course of pregnancy. Cesarean section was done as cardiologically indicated in 22.2% of the patients; spontaneous delivery occurred in most examinees. Conclusion. Pregnancy after surgery for aortic coarctation is not contraindicated in the majority of cases. The patients having cardiac comorbidity, such as aortic valve insufficiency or aortic stenosis, during pregnancy should be carefully monitored for the cardiovascular system, health status, and growth of a fetus.