Introduction: Takayasuâ??s arteritis (TA) is a rare systemic, chronic inflammatory,\nprogressive, idiopathic disease of aorta and its main branches. Takayasuâ??s\narteritis causes narrowing, occlusion and aneurysm of arteries. The\netiology of TA is still unknown. It may be autoimmune or genetic in origin or\ninfective diseases. It is commonly found in Asia and oriental countries.\nWorldwide annual incidence is 1.2 - 2.6 cases/million. Women are affected in\n80% - 90% of cases with age of onset below 40 years. TA does not worsen or\nimprove with pregnancy but has adverse effect on pregnancy in the form of\nabortion, Intrauterine fetal death, superimposed preeclampsia, Intrauterine\ngrowth restriction, abruption and congestive heart failure. Because the disease\nis common in women of childbearing age, management of pregnancy in these\npatients becomes important; however optimal management for pregnant patients\nwith this disease has not yet been established. Due to the manifold cardiovascular\ncomplications that can occur in the course of the disease, management\nof pregnancies in TA patients is a challenge for the clinician. An interdisciplinary\ncollaboration of obstetrician, rheumatologist, cardiologist and\nanaesthetist is necessary to improve maternal and fetal prognosis. This was\nthe first reported case of TA in pregnancy in Hasan Sadikin Hospital with\nsuperimposed preeclampsia and pulmonary hypertension.........................................
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