| A Case Report of Epidural Anesthesia for Cesarean Section in a Patient with Takayasu's Arteritis. |
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Dong Yeon Kim, In Ja Lee, Eun Mi Lee, Mi Hwa Chung, Rim Soo Won |
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Department of Anesthesiology, Hallym University College of Medicine, Seoul, Korea. |
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| Abstract |
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Takayasu's arteritis is a chronic, idiopathic occlusive inflammation of the aorta and its major branches, affecting females in over 85% of the cases. The major clinical finding is loss of palpable pulses in the upper limbs and neck.
Several authors have cautioned against the use of regional anesthesia in Takayasu's arteritis, because of the dangers of hypotension and subsequent vasopressor use. However, regional anesthesia, with an awake patient, is the easiest way to monitor cerebral function and is the preferred technique in the parturient. We report on a case of Takayasu's arteritis associating renovascular hypertension during pregnancy with successful cesarean delivery under epidural anesthesia. |
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