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2002, Number 3

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Rev Mex Anest 2002; 25 (3)

Anestesia en el paciente con Arteritis de Takayasu clase IV, en cirugía de revascularización coronaria. Reporte de un caso

Rojas PE, Flores KSI, Romero BJ, Molina MJ, Sánchez ZH, Luna OP, Paulino F

Language: Spanish
References: 18
Page: 180-183
PDF size: 405.09 Kb.


ABSTRACT

We will exemplify a case in wich a young woman suffering of Takayasu Arteritis underwent elect ive coronary artery bypass grafting in our institution. Although this patient developed left main coronary stenosis, she did not show any c1ínical sign of ischemia. She had been affected by cerebral stroke prior to surgery; she also had historial of multiple stenosis in another arteries including: carotid, femoral and basilar. The left main coronary stenosis increase the risk for perioperative myocardial ischemia. The multiple arterial occlusions in another organs exposed this patient to greater risk for perioperative complications. Surgical and anesthetic management became both a medical challenge for our surgical team due to the fact this is a disease rarely seen in cardiovascular surgery.


REFERENCES

  1. l. Subramaniam K. Shivanand Ch. Virender K. Iqbal Rehman, Venkatesh B, Navin M. Ishwar B. and Pramila Ch. Anesthesic Management of Patients with Takayas u's Arteritis: A case series and review. Anesth Analg. 2001;93:60-5.

  2. S.L. Crofts, E. Wilson. Epidural analgesia for labour in Takayasu's arteritis. Case report. British journal of Obstetric and Gynaecology. 1991;98:408-409.

  3. Y. Gozal, Y. Ginosar, D. Gozal. Combined general and epidural anestesia for a patient with Takayasu's ArteritlIs. Regional Anesthesia. 1995;20(3):246-248

  4. J.R. Thorburn, EM. james. Anaesthetic management of Takayasu's arteritis. Anaesthesia. 1986;41:734-738.

  5. McKay, Robert S.F, dillard, Sandy R. Management successful use of epidural analgesia for labor. delivery, and tubal ligation in a patient with Takayasu's disease. Anesth Analg. 1992:74:297-299.

  6. K.F. Hampl. M.C. Schneider, K. Skarvan, J.Graber. Spinal Anesthesia in Takayasu's disease. Br. J. Anaesth. 1994;129-132.

  7. Ousmane ML. Fleyfel M. Ropivacaine 0.75% for epidural anesthesia in a patient with severe Takayasu's disease. Br. j.Anaesth; 1999:83(6):956-959.

  8. Kathirvel S Chavan, Aria VK. Rehman I. Anesthetic management of patients with Takayasu's arteritis: a case series and review. Anesth Analg. 2001;93(1):60-5.

  9. Thorburn JR, james MFM. Anaesthesia management of Takayasu's arteritis. 1986;41:734-738.

  10. Subramaniam K. Shivanand Ch. Virender K. Iqbal Rehman, Venkatesh B, Navin M. Ishwar B. and Pramila Ch. Anesthesic Management of Patients with Takayasu's Arteritis: A case series and review. Anesth Analg. 2001;93:60-5.

  11. S.L. Crofts, E. Wilson. Epidural analgesia for labour in Takayasu's arteritis. Case report. British Journal of Obstetric and Gynaecology. 1991;98:408-409.

  12. Y. Gozal, Y. Ginosar, D. Gozal. Combined general and epidural anestesia for a patient with Takayasu's ArteritlIs. Regional Anesthesia. 1995;20(3):246-248

  13. J.R. Thorburn, F.M. James. Anaesthetic management of Takayasu's arteritis. Anaesthesia. 1986;41:734-738.

  14. McKay, Robert S.F, dillard, Sandy R. Management successful use of epidural analgesia for labor. delivery, and tubal ligation in a patient with Takayasu's disease. Anesth Analg. 1992:74:297-299.

  15. K.F. Hampl. M.C. Schneider, K. Skarvan, J. Graber. Spinal Anesthesia in Takayasu's disease. Br. J. Anaesth. 1994;129-132.

  16. Ousmane ML. Fleyfel M. Ropivacaine 0.75% for epidural anesthesia in a patient with severe Takayasu's disease. Br. J. Anaesth; 1999:83(6):956-959.

  17. Kathirvel S Chavan, Aria VK. Rehman I. Anesthetic management of patients with Takayasu's arteritis: a case series and review. Anesth Analg. 2001;93(1):60-5.

  18. Thorburn JR, James MFM. Anaesthesia management of Takayasu's arteritis. 1986;41:734-738.




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