Nurçin GÜLHAŞ, Murat BIÇAKCIOĞLU, Mustafa Sait AYDOĞAN, Mahmut DURMUŞ

Takayasu Arteritli Gebede Kombine Spinal Epidural Anestezi ile Sezaryen Operasyonu: Olgu Sunumu

Takayasu arteriti, aort ve ana dallarını etkileyen idiopatik oldukça nadir görülen bir büyük damar vaskülitidir. Genellikle doğurganlık yaşındaki kadınlarda görülür. Tutulan damar alanına bağlı olarak görme bozuklukları, serebrovasküler yetersizlik bulguları, geçici iskemik atak, kollarda nabızların yokluğu gibi klinik bulguları vardır. Kollardan ölçülen kan basıncı değerlerinin iki kol arasında 10--20 mmHg'dan farklı olması hastalığı akla getirmelidir. Etiyolojisi bilinmeyen bu panarteritis türünde anestezi yönetiminde, kontrol edilemeyen hipertansiyon, hipertansiyona bağlı gelişen son organ hasarları ve arterial kan basıncındaki değişikleri kontrol etmede güçlüklerle karşılaşılabilir. Bu nedenle kombine spinal epidural anestezi ile acil sezayen operasyonu planlanan Takayasu arteritli 32 yaşındaki kadın hastada anestezik yönetimi sunmayı amaçladık. Anahtar Kelimeler: Takayasu

Caesarean Section Under Combined Spinal Epidural Anaesthesia of Pregnant Woman with Takayasu's Arteritis: Case Report

Takayasu’s arteritis is idiopathic, rare vasculitis that affects the aorta and its primary branches. It predominantly affects women ofreproductive age. There are clinical findings such as visual disturbances, cerebrovascular insufficiency, transient ischemic attack and theabsence of pulses in the arms. Two different pressure values (10—20 mmHg) measured by the arms that should remind disease.Anesthesia for patients with this type of panarteritis is complicated due to their severe uncontrolled hypertension, end—organ dysfunctionresulting from hypertension, stenosis of major blood vessels affecting regional circulation, and difficulties encountered in monitoringarterial blood pressure. Therefore, we aimed to discuss anaesthetic management of 32—year—old pregnant patient with Takayasu arteritiswith combined spinal epidural anesthesia during emergent Caesarean section.

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