Successful maternal and fetal outcome in patients with Takayasu arteritis: two case reports of Type I and Type IV in stage 2
Keywords:Angiogram, Hypertension, Pregnancy, Renal artery stenosis, Takayasu arteritis (TA)
Takayasu's arteritis, is a rare, chronic, idiopathic, inflammatory disease of the large arteries, primarily involves the aorta, its main branches as well as the coronary and pulmonary arteries. It is mostly seen among women with child bearing age group (80%). During pregnancy, the increased intravascular volume impair circulation and exacerbate aortic regurgitation, hypertension, and congestive heart failure. Hypertension is one of the serious complication that can develop, leading to intrauterine growth restriction, maternal heart failure, and fetal haemorrhage and during postpartum period.
Beilin Y, Bernstein H: Successful epidural anaesthesia for a patient with takayasu’s arteritis presenting for Caesarean section. Can J Anaesth. 1993;40:64-6.
Ishikawa K, Matsumura S. Occlusive thromboaortopathy (takayasu’s disease) and pregnancy. Clinical course and management of 33 pregnancies and deliveries. Am J Cardiol. 1982;50:1293-300.
Ioscovich A, Gislason R, Fadeev A. Peripartum anesthetic management of patients with takayasu’s arteritis: case series and review. int J obstet Anesth, 2008;17:358-64.
Kathirvel S, Chavan S, Arya VK. Anesthetic management of patients with takayasu’s arteritis: a case series and review. Anesth Analg. 2001;93:60-5.
Mandal D, Mandal S, Dattaray C, Banerjee D, Ghosh P, Ghosh A, Panja M. Takayasu arteritis in pregnancy: an analysis from eastern India. Archives of gynecology and obstetrics. 2012;285(3):567-71.
Matsumura A, Moriwaki R, Numano F. Pregnancy in takayasu arteritis from the view of internal medicine. Heart Vessels. 1992;7:120124.
Wilke WS. Large vessel vasculitis (giant cell arteritis, takayasu arteritis). Baillieres Clin Rheumatol. 1997;11:285-313.
Ishikawa K, Matsura S. Occlusive thormboaortopathy (Takayasu’s disease) and pregnancy: clinical course and management of 33 patients and deliveries. Am J Cardiol. 1982;50:1293-300.
Matsumura A, Moriwaki R, Numano F. Pregnancy in Takayasu arteritis from the view of internal medicine. Heart Vessels. 1992;7:20-4.
Seo P. Pregnancy and vasculitis. Rheum Dis Clin North Am. 2007;33:299-317.
Sharma BK, Sagar S, Singh AP. Takayasu arteritis in India. Heart Vessels. 1992;7:37-43.
Liang P, Hoffman GS. Advances in the medical and surgical treatment of takayasu arteritis. Curr opin Rheumatol. 2005;17:16-24.
Wong VC, Wang Ry, Tse TF. Pregnancy and takayasu’s disease. Am J Med. 1983;75:597-601.
Henderson K, Fludder P. Epidural anaesthesia for caesarean section in a patient with severe takayasu’s disease. Br J Anaesth. 1999;83:956-9.
Papantioniou N, Katsoulis I, Papageorgiou I, Antsaklis A. Takayasu arteritis in pregnancy: safe management options in antenatal care. Case report. Fetal Diagn Ther. 2007;22:449-51.
NaliNi S, Santa SA. Takayasu arteritis with bilateral renal artery stenosis and left subclavian artery stenosis in pregnancy. JCDR. 2015;9(9):QD07.