Vol. 7, Issue 2, Part A (2025)

Takayasu’s arteritis (TA), also called Pulseless Disease, is a rare, chronic progressive pan-endarteritis involving the aorta and its main branches. Severe uncontrolled hypertension, end-organ dysfunction resulting from hypertension, stenosis of major blood vessels affecting regional circulation, and difficulties encountered in monitoring arterial blood pressure complicate the anaesthetic management in a patient with TA. We share one such case of TA posted for restoration of bowel continuity/ stoma closure as a sequale of mesenteric ischaemia about their peri-operative concerns, difficulties and management. Vigilant intraoperative monitoring with a high index of suspicion, combined with targeted diagnostic investigations, is crucial for establishing the diagnosis, and proactive postoperative intensive care management is the foundation of achieving optimal surgical outcomes while minimising perioperative morbidity.