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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 4  |  Page : 489-491

Paediatric Auto Renal Transplantation-Anaesthetic Challenge


1 Asst Professor, Department of Anaesthesia and critical care, Christian Medical College & Hospital, Vellore-632004, India
2 Professor, Department of Anaesthesia and critical care, Christian Medical College & Hospital, Vellore-632004, India

Correspondence Address:
P A Saravanan
Department of Anaesthesia and critical care, Christian Medical College & Hospital, Vellore-632004
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640215

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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. Abalanced 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.


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