Rafael Ramírez-GonzalesCarlos Javier Shiraishi ZapataJohn Neper Laurencio-Ambrosio2026-03-222026-03-22202410.35366/115321https://doi.org/10.35366/115321https://andeanlibrary.org/handle/123456789/75028We report the anesthetic management of a parturient with Takayasu arteritis and several comorbidities scheduled for elective cesarean section with the authorization of the institutional ethics committee.A twosegment combined spinal-epidural technique was used to provide anesthesia with close control of invasive arterial pressure and the use of Norepinephrine endovenous infusion.Likewise, a literature review of the two-segment combined technique for cesarean section in pregnant women with this disease was performed.esMedicineTakayasu arteritisarticle