Abstract

In 1908, Mikito Takayasu, a Japanese ophthalmologist, reported the case of a 21-year-old woman with retinal arteriovenous anastomoses, syncope, and absent upper extremity pulses.1 Takayasu arteritis (TA), also known as occlusive thromboaortopathy, is a primary systemic vasculitis of unknown etiology, predominantly affecting women2 during their reproductive years (female to male ratio is 4:1). It has variable geographical distribution with the greatest prevalence in Asians, especially Japan, and the Orient. Optimal management for pregnant patients with this disease has not yet been established. 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 obstetrician, the rheumatologist and the cardiologist.

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