Perioperative Anesthetic Management of Acute Heart Failure in a Patient with Takayasu's Arteritis Accompanied by Renovascular Hypertension.
10.4097/kjae.2000.38.6.1084
- Author:
Jong Ho CHOI
1
;
Eun Sung KIM
Author Information
1. Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Arteries: Takayasu's disease;
Heart: right heart failure;
Kidney: renovascular hypertension
- MeSH:
Adult;
Aorta;
Aorta, Abdominal;
Central Venous Pressure;
Constriction;
Diagnosis;
Extremities;
Female;
Heart Failure*;
Heart*;
Humans;
Hypertension;
Hypertension, Renovascular*;
Pulmonary Circulation;
Stroke;
Syncope;
Takayasu Arteritis*
- From:Korean Journal of Anesthesiology
2000;38(6):1084-1088
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Takayasu's disease is a chronic inflammatory arteriopathy of unknown origin, mainly involving the aorta and its larger branches, but often affecting pulmonary circulation as well. It is most prevalent in young women. Common manifestations include absent pulses, bruits, hypertension (due to renal arterial involvement), left heart failure, stroke, syncope, ocular symptoms, and claudication of the limbs. We present the case of a 44 year old woman who underwent aortoiliac bypass surgery under diagnosis of renovascular hypertension, but showed acute heart failure and died in ICU after surgery. We could postulate the development of right heart failure in this patient based upon the persistant increase of central venous pressure after cross clamping of the abdominal aorta.
