| Summary: | Takayasu′s arteritis is described to be the single most important cause of renovascular hypertension. Anaesthetising a child with Takayasu′s arteritis for auto renal transplantation is a challenge as it is complicated by severe uncon-trolled hypertension, end-organ dysfunction resulting from hypertension, stenosis of major blood vessels affecting regional circulation, and difficulties encountered in monitoring arterial blood pressure. Abalanced anaesthetic tech-nique, maintenance of stable haemodynamics with monitoring is required for a successful outcome. We describe the anaesthetic management of a child with Takayasu′s arteritis and severe hypertension refractory to medical treatment requiring auto renal transplantation.
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