Anesthetic management of Takayasu’s arteritis for cesarean section

  • Shalaka Sandeep Nellore Department of Anesthesiology, Lokmanya Tilak Medical General Hospital & College Sion, Mumbai-400022, Maharashtra (India).
  • Akshay Uttarwar Department of Anesthesiology, Lokmanya Tilak Medical General Hospital & College Sion, Mumbai-400022, Maharashtra (India).
  • Nina Dalvi Department of Anesthesiology, Lokmanya Tilak Medical General Hospital & College Sion, Mumbai-400022, Maharashtra (India).
Keywords: Takayasu’s disease, Arteritis, Hypertension, Anesthesia, General

Abstract

Takayasu’s arteritis (TA), also called pulseless disease, aortic arch syndrome, occlusive thromboaortopathy, or aortic arteritis, is a chronic vasculitis mainly involving the aorta and/ or, its main branches, such as the brachiocephalic, carotid, subclavian, vertebral, renal, coronary and pulmonary arteries. Major challenges for anesthesia in patients with TA involve severe uncontrolled hypertension, end-organ dysfunction, stenosis of major blood vessels, and difficulties in monitoring arterial blood pressure. The cardiovascular complications attributed to the disease can be seriously enhanced during pregnancy. We present successful anesthetic management of emergency cesarean section under general anesthesia in a parturient with long-standing Takayasu’s disease with renovascular hypertension complicated by eclampsia.

Published
01-21-2019
How to Cite
Nellore, S. S., Uttarwar, A., & Dalvi, N. (2019). Anesthetic management of Takayasu’s arteritis for cesarean section. Anaesthesia, Pain & Intensive Care, 474-476. Retrieved from https://apicareonline.com/index.php/APIC/article/view/169
Section
Case Reports