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Takayasu's Arteriopathy with Associated Descending Thoracic Aortic Dissection During Pregnancy: A Multidisciplinary Approach Leading to a Successful Outcome: A Case PresentationUniversity of California, San Diego, San Diego, California
University of California, San Diego, San Diego, California
University of California, San Diego, San Diego, California
University of California, San Diego, San Diego, California
University of California, San Diego, San Diego, California Takayasu's arteriopathy is a rare arterial inflammatory disease of unknown etiology that commonly affects the aorta, its major branches, and the pulmo nary artery. Although this process most often causes narrowing and occlusion of the vessels involved, it is associated only rarely with aneurysm formation or dissection of the vessel. Although there are sporadic reports of pregnancy in conjunction with Takayasu's arteriopathy, the combination of this disorder with pregnancy and an aortic dissection is very unusual. This case report and literature review details the clinical management of a gravid female with clinical problems that were managed through close coopera tion among cardiothoracic surgery, anesthesia, obstetrics and gynecology, and perinatology units. This multidisciplinary approach led to the successful opera tive repair of a descending thoracic aortic dissection in a pregnant woman with Takayasu's arteriopathy who later delivered a normal full-term infant.
Vascular and Endovascular Surgery, Vol. 21, No. 2,
108-119 (1987) |
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