title: Paediatric Auto Renal transplantation-Anaesthetic Challenge.
abstract: Takayasu's arteritis is described to be the single most important cause of renovascular hypertension. Anaesthetising a child with Takayasu's arteritis for auto renal transplantation is a challenge as it is complicated by 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. A balanced anaesthetic technique, maintenance of stable haemodynamics with monitoring is required for a successful outcome. We describe the anaesthetic management of a child with Takayasu's arteritis and severe hypertension refractory to medical treatment requiring auto renal transplantation.
authors.affiliation: Asst Professor, Department of Anaesthesia and critical care, Christian Medical College & Hospital, Vellore, India-632004.
authors.forename: Saravanan
authors.initials: S
authors.lastname: Pa
authors.forename: Rebecca
authors.initials: R
authors.lastname: Jacob
authors.forename: Raj
authors.initials: R
authors.lastname: Sahajanandan
authors.forename: Anita Shirley
authors.initials: AS
authors.lastname: Joselyn