Tomioka N, Hirose K, Abe E, Miyamoto N, Araki K, Nomura R, Ishikawa K
Department of Cardiology, Otsu Red Cross Hospital, Japan.
Jpn Heart J. 1998 Mar;39(2):255-60. doi: 10.1536/ihj.39.255.
We describe a successful delivery by prophylactic cesarean section in a patient with Takayasu's disease who had a previous history of intrapartum cerebral hemorrhage during vaginal delivery. Aortography showed occlusion of the common carotid, subclavian and vertebral arteries on the left side, severe narrowing of the right subclavian artery, and moderate narrowing of the entire abdominal aorta. Blood pressure was managed by monitoring central aortic pressure at the thoracic aorta. During the peripartum course, we recommend monitoring the central aortic pressure in patients with Takayasu's disease in whom accurate blood pressure readings can not be obtained in any extremity.
我们描述了一例针对一名曾在阴道分娩时发生产时脑出血的大动脉炎患者，通过预防性剖宫产成功分娩的病例。主动脉造影显示左侧颈总动脉、锁骨下动脉和椎动脉闭塞，右侧锁骨下动脉严重狭窄，整个腹主动脉中度狭窄。通过监测胸主动脉的中心主动脉压来控制血压。在围产期，对于无法在任何肢体获得准确血压读数的大动脉炎患者，我们建议监测中心主动脉压。
