Anesthetic management of live donor renal transplantation in a recipient with Wegener's granulomatosis

Antineutrophil cytoplasmic autoantibody-associated vasculitis (AAV) is a common cause of rapidly progressive glomerulonephritis resulting in end-stage renal disease (ESRD). Wegener's granulamotosis (WG) is a rare disease of this group that have granulomatosis with polyangiitis, characterized by a triad of necrotizing granulomas in the upper and lower respiratory tracts, small vessel vasculitis, and glomerulonephritis. This case report illustrates the various concerns implicated in the anesthetic considerations of a patient of ESRD with Wegener's granulomatosis for renal transplant.