• Zhonghua Yi Xue Za Zhi (Taipei) · Jan 2000

    Case Reports

    Combined spinal-epidural anesthesia for cesarean section in a patient with Takayasu's disease.

    • J T Liou, M S Sun, Y H Lin, C C Chu, C M Ho, M Y Tsou, and T Y Lee.
    • Department of Anesthesiology, Taipei Veterans General Hospital, Taiwan, ROC.
    • Zhonghua Yi Xue Za Zhi (Taipei). 2000 Jan 1; 63 (1): 66-70.

    AbstractWe 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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