Successful maternal and fetal outcome in a pregnancy with type V Takayasu’s aortoarteritis

Takayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 microg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.

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Takayasu Arteritis and Pregnancy

Khandelwal¹,

Lal²,

Fischer³

et al. 2009

Obstetrical &Amp; Gynecological Survey

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Successful maternal and fetal outcome in a pregnancy with type V Takayasu’s aortoarteritis

Cited by 3 publications

References 4 publications

Pregnancy and vasculitis: A systematic review of the literature

Pregnancy and vasculitis: A systematic review of the literature

Takayasu Aortoarteritis With Dilated Cardiomyopathy: Anesthetic Management of Labor Analgesia

Takayasu Arteritis and Pregnancy

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