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Anesth Analg 2001;93:60-65
© 2001 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Anesthetic Management of Patients with Takayasu’s Arteritis: A Case Series and Review

Subramaniam Kathirvel, MD, Shivanand Chavan, MD, Virender K. Arya, MD, Iqbal Rehman, MD, Venkatesh Babu, MD, Navin Malhotra, MD, Ishwar Bhukal, MD, and Pramila Chari, MD, MNAMS

Department of Anesthesiology and Critical Care, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India

Address correspondence and reprint requests to Subramaniam Kathirvel, 94 Amity Street, #6E, Brooklyn, NY 11201. Address e-mail to kathirvels{at}yahoo.com

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.

Implications: This case series describes the anesthetic problems and management of patients with pulseless disease.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2001 by the International Anesthesia Research Society.