SUCCESSFUL PREGNANCY IN A PATIENT WITH TAKAYASU’S ARTERITIS: A CASE REPORT

Takayasu arteritis, a so-called pulseless disease, is a very rare disease in young people. The first symptoms
appear at the age of 5 to 40 years. Although both sexes may be affected, 80-90% of patients are female.
It is a chronic inflammatory arthritis that affects the large arteries. This form of arthritis can be associated
with abnormal angiography of the upper aorta and its main branches, which disrupts blood flow to the
arteries of the upper extremities. Pregnancy with a history of Takayasu arteritis is considered a high-risk
pregnancy and the risk increases depending on the progression of the disease and the extent of vascular
damage. The purpose of this article is to report the case of a successful and uncomplicated pregnancy in
a patient with Takayasu arteritis.
A 36-year-old woman in her third pregnancy with two healthy children, with a gestational age of 38 weeks
was referred to us with labor pains. The patient had a 8-year history of Takayasu's arteritis. She did not
follow-up and received no treatment during her current pregnancy. Her first visit in week 38 was due to
the onset of labor pains. Emergency evaluation and procedures were performed. Finally, due to arrest
dilatation, an emergency cesarean section was performed. She delivered a healthy boy weighing 4300 g
with an Apgar score of 9-10.