ANESTHETIC MANAGEMENT FOR CESAREAN-SECTION IN A PATIENT WITH KAWASAKI-DISEASE

Kawasaki disease (KD) or mucocutaneous; lymph node syndrome is an acut e febrile illness affecting mainly children under four years of age. T he most important clinical feature of this disease is coronary arterit is associated with aneurysms and thrombotic occlusions, which may lead to ischaemic heart disease or sudden death, It has now been more than 20 yr since its first description, and a number of survivors of child hood KD have reached child-bearing age. Despite the possible fatal out come of this disease in adult patients with coronary artery manifestat ions, no information is available regarding the obstetrical anaestheti c management of patients with a history of KD. The purpose of this rep ort is to describe the successful use of epidural anaesthesia in a pat ient with a history of KD undergoing Caesarean section and to discuss the anaesthetic considerations that should be given to adult survivors of childhood KD.