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Case Studies | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023 | Popularity: 5.1 / 10

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Successful Fetomaternal Outcome in a Case of Takayasu Arteritis

Dr. Preeti F. Lewis, Dr. Komal K. Devnikar, Dr. Lata Aasudani

Abstract: Takayasu arteritis is a rare type of vasculitis, a group of disorders that causes large vessel inflammation.1 The disease can lead to narrowed or blocked arteries, or to aneurysm and tear. It may lead to complications like high blood pressure, heart failure, stroke, transient ischaemic attack, and aneurysm in the aorta1. A healthy pregnancy is possible with the disease but it is a medical challenge. It usually complicates the latter half of the pregnancy and causes hypertension, organ dysfunction, and fetal growth restriction.2 Pregnancy with TA is a medical challenge as, the results by the American College of Rheumatology highlight the serious concerns ie the miscarriage rate of 11% and intrauterine death of 1%, preterm delivery rate was 15%, 16% of pregnancies had IUGR and 28% of patients required delivery by LSCS. Here presenting a case of G4P3IUFD3 with previous 1 LSCS with Takayasu arteritis with chronic hypertension with late - onset severe IUGR. Following a multidisciplinary approach, she delivered an alive live born low - birth - weight baby. Her postpartum course remained uneventful. Despite advancements in cardiovascular management and new drugs, the optimal management for pregnant patients with this disease remains elusive.

Keywords: Lower segment caesarean section, LSCS, Intrauterine growth restriction, IUGR, Takayasu Arteritis (TA), Gravida (G), Para (P), Intauterine death, IUD

Edition: Volume 12 Issue 4, April 2023

Pages: 468 - 471

DOI: https://www.doi.org/10.21275/SR23405105736

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