Undiagnosed Takayasu Arteritis in Pregnancy

Abstract

Takayasu arteritis is a chronic inflammation involving large vessels and it often occurs in young women of childbear ing 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.