Korean J Anesthesiol.  1999 Oct;37(4):726-730. 10.4097/kjae.1999.37.4.726.

A Case Report of Epidural Anesthesia for Cesarean Section in a Patient with Takayasu's Arteritis

• Kim DY
• Lee IJ
• Lee EM
• Chung MH
• Won RS

• KMID: 2091478
• DOI: http://doi.org/10.4097/kjae.1999.37.4.726

Abstract

Takayasu's arteritis is a chronic, idiopathic occlusive inflammation of the aorta and its major branches, affecting females in over 85% of the cases. The major clinical finding is loss of palpable pulses in the upper limbs and neck. Several authors have cautioned against the use of regional anesthesia in Takayasu's arteritis, because of the dangers of hypotension and subsequent vasopressor use. However, regional anesthesia, with an awake patient, is the easiest way to monitor cerebral function and is the preferred technique in the parturient. We report on a case of Takayasu's arteritis associating renovascular hypertension during pregnancy with successful cesarean delivery under epidural anesthesia.

Keyword

Anesthetic techniques, epidural; Arteries, Takayasu's arteritis; Pregnancy, cesarean section

MeSH Terms

Anesthesia, Conduction
Anesthesia, Epidural*
Aorta
Cesarean Section*
Female
Humans
Hypertension, Renovascular
Hypotension
Inflammation
Neck
Pregnancy
Takayasu Arteritis*
Upper Extremity