A durable iliac-axillary and axillary-carotid bypass for cerebral ischemia due to Takayasu arteritis allowed successful pregnancies and deliveries.

A 24-year-old Japanese woman underwent ilioaxillary bypass with an expanded polytetrafluoroethylene graft and axillocarotid bypass with an autologous saphenous vein graft for severe brain ischemia due to Takayasu arteritis. A method that involved wrapping strips of the graft around the artery was used to prevent stretching of the anastomotic site. Her general condition and symptoms improved remarkably. She became pregnant three times and delivered the infants without any complications caused by the operation. The present case contributes to proof of patency, effectiveness, and durability of these bypass grafts.