Takayasus's Arteritis in Pregnancy. Case Report and Literature Review

Leal, Plínio da Cunha; Silveira, Fernanda Fabrízia Martins; Sadatsune, Eduardo Jun; Clivatti, Jefferson; Yamashita, Américo Massafuni

doi:10.1016/s0034-7094(11)70056-3

Cited by 9 publications

(16 citation statements)

References 22 publications

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“…Table 1 shows the clinical presentation, maternal complications, mode of delivery, and fetal/neonatal outcome of recently reported cases, in comparison with the reported case [ 11 – 17 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India

Marwah

Rajput

Mohindra

et al. 2017

Case Reports in Obstetrics and Gynecology

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Background. Takayasu's arteritis (TA) is a rare, chronic, inflammatory, progressive, idiopathic arteriopathy, afflicting young women of reproductive age group, causing narrowing, occlusion, and aneurysms of systemic and pulmonary arteries, especially the aorta and its branches. During pregnancy, such patients warrant special attention. An interdisciplinary collaboration of obstetricians, cardiologists, and neurologists is necessary to improve maternal and fetal prognosis. Here a case is reported where a patient with diagnosis of TA, complicated by neurological sequelae, successfully fought the vagaries of the condition twice to deliver uneventfully. Case. 25-year-old G2P1L1 presented at 34 weeks of gestation, with chronic hypertension, with TA, with epilepsy, and with late-onset severe IUGR. Following a multidisciplinary approach, she delivered an alive born low birth weight baby (following induction). Her postpartum course remained uneventful. Conclusion. Pregnancy with TA poses a stringent challenge to an obstetrician. Despite advancements in cardiovascular management and advent of new-fangled drugs, the optimal management for pregnant patients with this disease still remains elusive.

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Section: Discussionmentioning

confidence: 99%

Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India

Marwah

Rajput

Mohindra

et al. 2017

Case Reports in Obstetrics and Gynecology

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“…(1) Takayasu arteritis was first described in 1908 by two Japanese ophthalmologists, Takayasu and Onishi, who observed retinopathy in the absence of peripheral pulses. (2) The disease is characterised by nonspecific granulomatous inflammation of blood vessels. Wall thickening, fibrosis, stenosis and thrombus formation cause end-organ ischaemia.…”

Section: Discussionmentioning

confidence: 99%

Successful Outcome of 2nd Trimester Medical Termination of Pregnancy in a Case of Aortoarteritis With Dilated Cardiomyopathy

Murugan¹,

Muthu²,

S³

2016

jebmh

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BACKGROUNDAortoarteritis is also known as Takayasu Arteritis, Aortic Arch Syndrome and Pulseless Disease. The disease is a rare vascular disease that cause progressive damage including inflammation, scarring, narrowing and abnormal ballooning inside the wall of aorta and major arteries with formation of aneurysms. Thus, the disease carries high morbidity and mortality. The occurrence of aortoarteritis during pregnancy is a very rare occurrence. The complications are fatal with the continuation of pregnancy. We are reporting a case of aortoarteritis in pregnancy diagnosed first at 19 weeks of gestation for Medical Termination of Pregnancy and successful outcome was achieved by combined multidisciplinary approach.

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“…Takayasu's arteritis (TA) is a rare, systemic, chronic inflammatory, progressive, idiopathic disease of aorta and its main branches [1] [2]. Takayasu's arteritis causes narrowing, occlusion and aneurysm of arteries [2]. The etiology of TA is still unknown.…”

Section: Introductionmentioning

confidence: 99%

Successful Management of Takayasu’s Arteritis with Pulmonary Hypertension in Pregnancy: A Rare Case

Permadi¹,

Setiawan²,

Aziz³

et al. 2019

OJOG

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Introduction: Takayasu's arteritis (TA) is a rare systemic, chronic inflammatory, progressive, idiopathic disease of aorta and its main branches. Takayasu's arteritis causes narrowing, occlusion and aneurysm of arteries. The etiology of TA is still unknown. It may be autoimmune or genetic in origin or infective diseases. It is commonly found in Asia and oriental countries. Worldwide annual incidence is 1.2 -2.6 cases/million. Women are affected in 80% -90% of cases with age of onset below 40 years. TA does not worsen or improve with pregnancy but has adverse effect on pregnancy in the form of abortion, Intrauterine fetal death, superimposed preeclampsia, Intrauterine growth restriction, abruption and congestive heart failure. Because the disease is common in women of childbearing age, management of pregnancy in these patients becomes important; however optimal management for pregnant patients with this disease has not yet been established. Due to the manifold cardiovascular complications that can occur in the course of the disease, management of pregnancies in TA patients is a challenge for the clinician. An interdisciplinary collaboration of obstetrician, rheumatologist, cardiologist and anaesthetist is necessary to improve maternal and fetal prognosis. This was the first reported case of TA in pregnancy in Hasan Sadikin Hospital with superimposed preeclampsia and pulmonary hypertension. Materials and Methods: The patient, G1P0A0 was diagnosed as TA since one year ago, and when the patient was pregnant, the patient routinely came to obstetric and rheumatology clinics. Angiographic examination showed dilatation of aorta ascendant, narrowing of aorta descendent at 8 thoracal vertebrae, and arcus aorta, abdominal aorta and the branches were without abnormalities that lead to type IIb TA. On physical examination blood pressure was 200/100 mmHg How to cite this paper: Permadi, W.,

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Takayasus's Arteritis in Pregnancy. Case Report and Literature Review

Cited by 9 publications

References 22 publications

Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India

Takayasu’s Arteritis in Pregnancy: A Rare Case Report from a Tertiary Care Infirmary in India

Successful Outcome of 2nd Trimester Medical Termination of Pregnancy in a Case of Aortoarteritis With Dilated Cardiomyopathy

Successful Management of Takayasu’s Arteritis with Pulmonary Hypertension in Pregnancy: A Rare Case

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