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Pregnancy outcome in Takayasu arteritis
Papa Dasari1, Hima Swetha Gummadi2
1Obstetrics and Gynaecology, JIPMER, Puducherry, Tamil Nadu, India dasaripapa@gmail.com.
BMJ Case Reports
|May 27, 2021
Summary
A pregnant woman with Takayasu arteritis successfully delivered via cesarean. This case highlights managing this rare condition during pregnancy for good maternal and infant outcomes.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Obstetrics
Background:
- Takayasu arteritis is a rare, chronic inflammatory disease affecting large arteries, primarily the aorta and its branches.
- Pregnancy in women with Takayasu arteritis presents significant risks due to potential cardiovascular complications.
Observation:
- A 40-week pregnant woman (G2P1L1) with a history of Takayasu arteritis (diagnosed 2016) presented for delivery.
- CT angiogram revealed involvement of the aortic arch and celiac trunk branches, with mild pulmonary hypertension (Type V disease).
Findings:
- The patient's Takayasu arteritis was managed with immunosuppressants, achieving symptom control.
- Elective cesarean delivery was performed due to Type V disease, with no reported aneurysms, thrombus, or aortic insufficiency.
- The patient had a history of pulmonary tuberculosis treated in 2016.
Implications:
- Successful management and delivery in pregnant patients with Takayasu arteritis are achievable with multidisciplinary care.
- This case underscores the importance of vigilant monitoring and tailored treatment strategies for Takayasu arteritis during pregnancy.
- Optimal maternal and perinatal outcomes are possible, even in complex cases of Takayasu arteritis.
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