Korean J Anesthesiol.  2000 Jun;38(6):1084-1088. 10.4097/kjae.2000.38.6.1084.

Perioperative Anesthetic Management of Acute Heart Failure in a Patient with Takayasu's Arteritis Accompanied by Renovascular Hypertension

• Choi JH
• Kim ES

• KMID: 2155264
• DOI: http://doi.org/10.4097/kjae.2000.38.6.1084

Abstract

Takayasu's disease is a chronic inflammatory arteriopathy of unknown origin, mainly involving the aorta and its larger branches, but often affecting pulmonary circulation as well. It is most prevalent in young women. Common manifestations include absent pulses, bruits, hypertension (due to renal arterial involvement), left heart failure, stroke, syncope, ocular symptoms, and claudication of the limbs. We present the case of a 44 year old woman who underwent aortoiliac bypass surgery under diagnosis of renovascular hypertension, but showed acute heart failure and died in ICU after surgery. We could postulate the development of right heart failure in this patient based upon the persistant increase of central venous pressure after cross clamping of the abdominal aorta.

Keyword

Arteries: Takayasu's disease; Heart: right heart failure; Kidney: renovascular hypertension

MeSH Terms

Adult
Aorta
Aorta, Abdominal
Central Venous Pressure
Constriction
Diagnosis
Extremities
Female
Heart Failure*
Heart*
Humans
Hypertension
Hypertension, Renovascular*
Pulmonary Circulation
Stroke
Syncope
Takayasu Arteritis*