Paediatric Auto Renal transplantation-Anaesthetic Challenge.
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.
Pa
Saravanan
S
Asst Professor, Department of Anaesthesia and critical care, Christian Medical College & Hospital, Vellore, India-632004.
Jacob
Rebecca
R
Sahajanandan
Raj
R
Joselyn
Anita Shirley
AS