Takayasu Arteritis and Pregnancy from the Point of View of the Internist

Analysis of pregnancies in women with Takayasu arteritis: Complication of Takayasu arteritis involving obstetric or cardiovascular events

“…Moreover, Takayasu arteritis is not influenced by pregnancy. The rates of pre‐eclampsia and FGR are increased among women with Takayasu arteritis . Blood pressure control during pregnancy is important to achieving successful outcomes .…”

“…Nevertheless, during the course of a pregnancy of a woman with Takayasu arteritis, maternal complications, such as sustained hypertension, superimposed pre‐eclampsia, congestive heart failure and progression of renal involvement, should be anticipated . The increased severity of Takayasu arteritis may be associated with an increased likelihood of low‐birthweight babies . Although Takayasu arteritis is a potentially severe condition during pregnancy, successful pregnancy outcomes are possible if extreme caution is taken .…”

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

“…The increased intravascular volume due to physiological change during pregnancy can impair maternal hemodynamics and exacerbate the pre-existing hypertension, aortic regurgitation, cerebrovascular accident, and congestive heart failure. The preexisting hypertension is often more severe especially in late pregnancy and often associated with intrauterine growth restriction, fetal hemorrhage, and maternal heart failure [7] [8].…”

“…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 the anaesthetist is necessary to improve maternal and fetal prognosis [7]. This was the first reported case of TA in pregnancy in Hasan Sadikin Hospital with superimposed preeclampsia and pulmonary hypertension.…”

Pregnancy in Takayasu’s arteritis with bilateral renal artery and abdominal aorta stents

“…Azathioprine should be considered in few cases that do not respond to corticosteriods. 3 Nowadays, both vascular surgery and balloon angioplasty have been found to be successful in both aorta and its branches when symptoms of vascular insufficiency occur.…”