Kassa Mamo Woldu, Benti Tadele Melese, Bedada Alemayehu Ginbo
Department of Anaesthesia and Critical Care, University of Botswana, Botswana.
Department of Obstetrics and Gynaecology, University of Botswana, Botswana.
Pan Afr Med J. 2018 Aug 20;30:281. doi: 10.11604/pamj.2018.30.281.16182. eCollection 2018.
Takayasu's arteritis (TA) is a rare chronic inflammatory disease affecting mainly the aorta and its main branches. We report a case of a 24-year-old primigravida, an African patient, with TA planned for caesarean section at 37 weeks of gestation. Clinically, she has involvement of aortic arch and its branches and abdominal aorta. She underwent caesarean section and delivered an alive baby boy under successful spinal anaesthesia with insignificant complications. Although it is rare in the African continent, anesthesiologists should be up-to-date with the knowledge of perioperative anesthetic management of TA in pregnant cases requiring operative delivery.
高安动脉炎（TA）是一种罕见的慢性炎症性疾病，主要影响主动脉及其主要分支。我们报告一例24岁初产妇，为非洲患者，患有TA，计划在妊娠37周时行剖宫产。临床上，她的主动脉弓及其分支和腹主动脉均受累。她接受了剖宫产，在成功的脊髓麻醉下产下一名存活男婴，并发症轻微。尽管在非洲大陆这种情况很少见，但麻醉医生应掌握需要手术分娩的TA孕妇围手术期麻醉管理的最新知识。
