Abstract

AbstractTakayasu’s arteritis (pulse less disease) is a nonspecific chronic progressive panendarteritis affecting the large- and medium-sized arteries, involving the aorta and its main branches. Anesthesia for patients with Takayasu’s arteritis complicated by severe uncontrolled hypertension, end-organ dysfunction, stenosis of major blood vessels, and difficulties encountered in monitoring arterial blood pressure. We describe the anesthetic concerns of a child with Takayasu’s arteritis and severe hypertension refractory to medical treatment, presented with bilateral renal artery stenosis requiring urgent bilateral percutaneous renal angioplasty.

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