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Year : 2011  |  Volume : 5  |  Issue : 1  |  Page : 98-101

Takayasu's arteritis: Anesthetic significance and management of a patient for cesarean section using the epidural volume extension technique

1 Department of Anesthesia, St. Stephens Hospital, Tees Hazari, India
2 Department of Anesthesia, Sushruta Trauma Centre, Civil Lines, New Delhi, India
3 Department of Cardiothoracic Anesthesia, Command Hospital (CC), Lucknow, Uttar Pradesh, India

Correspondence Address:
Akhilesh Kumar Tiwari
Opp. SAI Stadium, Kanpur Road, Sarojini Nagar, Lucknow Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0259-1162.84184

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Takayasu's arteritis (TA) is a rare, chronic progressive pan-endarteritis involving the aorta and its main branches. Anesthesia for patients with TA is complicated by severe uncontrolled hypertension, end-organ dysfunction, stenosis of major blood vessels, and difficulties in monitoring arterial blood pressure. We present the successful anesthetic management of a 23-year-old woman having TA with bilateral subclavian and renal artery stenosis posted for emergency cesarean section by using the epidural volume extension technique, which offers the combined advantage of both spinal and epidural anesthesia and, at the same time, also avoids the need of sophisticated neurological monitors like EEG and transcranial Doppler.

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