Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: Jan 01, 2016

Anesthetic Management of a Patient With Takayasu Arteritis

DDS, PhD,
DDS, PhD,
DDS, PhD,
DDS, PhD,
DDS, PhD,
DDS, PhD, and
MD, PhD
Page Range: 31 – 33
DOI: 10.2344/14-00006R1.1
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Takayasu arteritis is a rare chronic progressive panendarteritis involving the aorta and its main branches. Anesthesia in patients with this disease can be complicated by severe uncontrolled hypertension, end-organ dysfunction, and stenosis of major blood vessels. In this case, general anesthesia was induced with sevoflurane and remifentanil without complications. To prevent intraoperative complications, we conducted intubation with a rigid video laryngoscope with careful consideration of the concentrations of analgesics and sedatives used. This case demonstrates the importance of anesthetic techniques for maintaining adequate tissue perfusion without hemodynamic changes in the anesthetic management of patients with Takayasu arteritis.

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Contributor Notes

Address correspondence to Dr Mitsuhiro Yoshida, Division of Dental Anesthesiology, Department of Control of Physical Function, Kyushu Dental University, 2-6-1 Manazuru Kokurakita-ku, Kitakyushu, Fukuoka, 803-8580, Japan; mh.yoshida@gmail.com.
Received: Feb 28, 2014
Accepted: May 11, 2015