Combined spinal-epidural anesthesia for cesarean section in a patient with Takayasu's disease
Liou, J.T.; Sun, M.S.; Lin, Y.H.; Chu, C.C.; Ho, C.M.; Tsou, M.Y.; Lee, T.Y.
Zhonghua Yi Xue Za Zhi 63(1): 66-70
2000
ISSN/ISBN: 0578-1337 PMID: 10645054 Document Number: 6382
We describe a successful episode of anesthesia management in a parturient affected with Takayasu's disease who underwent elective cesarean section under combined spinal-epidural anesthesia. Takayasu's disease is characterized by chronic occlusive inflammation of the arteries (panarteritis) of unknown origin that usually involves the aorta and its main branches. Progression of the disease may be marked by aneurysmal dilation of the affected arteries and may lead to a fatal outcome, usually from cerebral ischemia or heart failure. The impact of pregnancy on Takayasu's disease is unclear, but worsening of ischemic symptoms, cardiac failure, aggravation of hypertension and cerebral hemorrhage have been reported in sufferers who are in the later stages of pregnancy. Nonetheless, anesthesia management of a parturient with advanced Takayasu's disease presents a challenge to anesthetists.
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