Anaesthetic management of a case of Takayasu arteritis: A case report

Takayasu's arteritis (TA) is a rare disease characterized by chronic progressive pan-endarteritis involving large blood vessels with resultant feeble pulsations in involved arteries. Therefore, it is also referred as pulseless disease. The challenges for anaesthesia management includes uncontrolled hypertension, invasive arterial monitoring, central nervous system monitoring and end-organ dysfunction. We present successful management of a middle-aged female diagnosed with TA posted for aorto-carotid graft. The anaesthesia management and complications encountered are highlighted.