title: Takayasu's arteritis: Anesthetic significance and management of a patient for cesarean section using the epidural volume extension technique.
abstract: 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.
authors.affiliation: Department of Anesthesia, St. Stephens Hospital, Tees Hazari, India.
authors.forename: Akhilesh Kumar
authors.initials: AK
authors.lastname: Tiwari
authors.affiliation: Department of Anesthesia, Sushruta Trauma Centre, Civil Lines, New Delhi, India.
authors.forename: Gaurav Singh
authors.initials: GS
authors.lastname: Tomar
authors.affiliation: Department of Anesthesia, St. Stephens Hospital, Tees Hazari, India.
authors.forename: Madhur
authors.initials: M
authors.lastname: Chadha
authors.affiliation: Department of Cardiothoracic Anesthesia, Command Hospital (CC), Lucknow, Uttar Pradesh, India.
authors.forename: Mukul C
authors.initials: MC
authors.lastname: Kapoor
keywords: Anesthesia; Takayasu arteritis; cesarean section; epidural volume extension