Auto renal transplantation in a patient of aortoarteritis with aneurysms of abdominal aorta.

Aortoarteritis (Takayasu's Disease) is an inflammatory involvement of Aorta, Pulmonary artery and their large branches and is associated with high perioperative morbidity and mortality. Administration of safe anesthesia to these high risk patients is a challenge and requires knowledge of disease pathophysiology, associated end organ dysfunction, monitoring requirements, potential complications of the disease and medical therapy. We present a case report of a patient posted for auto renal transplantation conducted under combined general and epidural anesthesia and discuss the several advantageous of this technique.