Paediatric Auto Renal Transplantation-Anaesthetic Challenge

• Main Authors: P A Saravanan, Rebecca Jacob, Raj Sahajanandan, Anita Shirley Joselyn
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2009-01-01
• Series: Indian Journal of Anaesthesia
• Subjects: Takayasu′s arteritis; Paediatric; Auto renal transplantation; Anaesthesia
• Online Access: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=4;spage=489;epage=491;aulast=Saravanan

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 uncon-trolled 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 tech-nique, 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.