Anesthetic management of patients with Takayasu's arteritis: A case series and review

• Published in: Anesthesia and analgesia Vol. 93; no. 1; pp. 60 - 65
• Main Authors: KATHIRVEL, Subramaniam, CHAVAN, Shivanand, ARYA, Virender K, REHMAN, Iqbal, BABU, Venkatesh, MALHOTRA, Navin, BHUKAL, Ishwar, CHARI, Pramila
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott 01.07.2001
• Subjects: Adult; Anesthesia; Anesthesia depending on patient's condition; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aneurysm - etiology; Aneurysm - surgery; Biological and medical sciences; Cesarean Section; Dilatation and Curettage; Female; Femoral Artery - surgery; Humans; Hysterectomy; Male; Medical sciences; Middle Aged; Nephrectomy; Pregnancy; Renal Artery Obstruction - surgery; Takayasu Arteritis - physiopathology; Vascular disease; Case study; Human; Vasculitis; Systemic disease; Cardiovascular disease; Anesthesia; Complication; Takayashu arteritis
• ISSN: 0003-2999; 1526-7598
• DOI: 10.1097/00000539-200107000-00014

Takayasu's arteritis is a rare, chronic progressive panendarteritis involving the aorta and its main branches. Anesthesia for patients with Takayasu's arteritis is complicated by their severe uncontrolled hypertension, end-organ dysfunction resulting from hypertension, stenosis of major blood vessels affecting regional circulation, and difficulties encountered in monitoring arterial blood pressure. Takayasu's arteritis is an uncommon disease and previous descriptions of the anesthetic management of patients with this disease have been limited to isolated case reports in the anesthetic literature, mostly in women undergoing cesarean delivery. We present our experience in this series of eight patients for various emergency and elective surgical procedures and review their perioperative problems and management. This case series describes the anesthetic problems and management of patients with pulseless disease.