Key result
Multidisciplinary management enables successful delivery without maternal or fetal complications in severe undiagnosed Takayasu arteritis.
Case Report (n=1)
No
This case highlights the importance of checking blood pressure in multiple limbs to suspect and diagnose large vessel vasculitis like Takayasu arteritis in pregnant women presenting with persistent, unexplained low upper-limb blood pressure.
Supports multi-limb BP assessment in unexplained pregnancy hypotension; leaves open prospective data on Takayasu arteritis peripartum care.
Takayasu arteritis is a chronic inflammation involving large vessels and it often occurs in young women of childbearing age. We described a case of a 29- year- old lady with previous history of proliferative ischemic retinopathy was noted to have low upper limbs blood pressure and weak upper limb pulses postpartumly. An urgent CT angiogram of thorax revealed features suggestive of large vessel vasculitis with involvement of ascending arch, descending aorta and its main branches, corresponding to type II TA . She was diagnosed to have Takayasu arteritis post delivery, and she underwent a successful pregnancy without intrapartum and postpartum complications. High index of suspicion must be given for pregnant patient who have persistent low blood pressure and weak pulse for early detection to avoid severe complications.
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Qiu et al. (2023) conducted a case report in Takayasu Arteritis in Pregnancy (n=1). Diagnosis and medical management was evaluated on Maternal and fetal survival (successful pregnancy). A 29-year-old pregnant woman with undiagnosed Takayasu arteritis presenting with persistent hypotension underwent a successful delivery without intrapartum or postpartum complications.
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