TAKAYASU’S ARTERITIS AND CARDIAC SURGERY: AN ANAESTHETIC CHALLENGE
DOI:
https://doi.org/10.48729/pjctvs.86Abstract
Takayasu’s arteritis (TA) is a rare inflammatory vascular disease, which causes a chronic progressive pan-endarteritis involving the aorta and its main branches, leading to persistent and uncontrolled hypertension and symptoms related to ischemia such as claudication, visual disturbances, stroke and transient ischemic attack. Limited information is available concerning anaesthetic management. We present the successful anaesthetic management of a 55 years old woman with TA scheduled for mitral valve replacement, tricuspid valve annuloplasty and coronary artery bypass grafting (CABG). The choice of anaesthetic technique took into consideration mainly the maintenance of blood pressure in the intraoperative and postoperative periods. According to our monitoring records, we can say that our choice enabled a safe and stable anaesthetic procedure.
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Tiwari AK, Tomar GS, Chadha M, Kapoor MC. Takayasu’s arteritis: Anesthetic significance and management of a patient for cesarean section using the epidural volume extension technique. Anesth essays Res. 2011;5(1):98-101. doi:10.4103/0259-1162.84184
Clifford SP, Mick PB, Derhake BM. Combined Spinal-Epidural for Vaginal Delivery in a Parturient With Takayasu’s Arteritis. J Investig Med High Impact Case Reports. 2016;4(4):232470961668372. doi:10.1177/2324709616683725
Kathirvel S, Chavan S, Arya VK, et al. Anesthetic management of patients with Takayasu’s arteritis: a case series and review. Anesth Analg. 2001;93(1):60-65. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11429340.
Yoshida M, Yamamoto T, Shiiba S, et al. Anesthetic Management of a Patient With Takayasu Arteritis. Anesth Prog.
;63(1):31-33. doi:10.2344/14-00006R1.1
Deepak Dwivedi, Kiran Sheshadri, Abhijit Karmarkar, Arijit Ray ST. Anaesthetic Considerations in Patients of Takayasu
Arteritis and Blunting of Stress Response to Intubation by Dexmedetomidine Infusion “A Report of two Cases.” J Clin
Diagnostic Resaearch. 2017;11(10):UD01-UD03. doi:10.7860/JCDR/2017/29079.10723
Nitesh Goel, Kapil Gupta, Sonia Wadhawan , Poonam Suchdeva RA. Undiagnosed Takayasu Arteritis - An Anaesthetic
Challenge. J Anaesth Clin Pharmacol. 2009. doi:25(4): 505-506
Duta B, Pandey R, Darlong V GR. Low-dose spinal anaesthesia for a parturient with Takayasu ’ s arteritis undergoing emergency caesarean section. Singapore Med J. 2010;51(6):6-8.
Baysal A, Rabus MB, Alsalehi S, Gul Y, Kocak T, Balkanay M. A young woman with Takayasu arteritis: Surgical and anesthetic management of Bentall procedure in a patient with abdominal aortic aneurysm and renal artery stenosis. Kardiochirurgia i Torakochirurgia Pol. 2013;10(4):422-424. doi:10.5114/kitp.2013.39747
Johnston SL, Lock RJ, Gompels MM. Takayasu arteritis: A review. J Clin Pathol. 2002;55(7):481-486. doi:10.1136/jcp.55.7.481
Vincent LL, Otto CM, Vincent LL. Infective Endocarditis : Update
on Epidemiology , Outcomes , and Management. 2018.
