Key result
Endovascular stent graft repair of a ruptured thoracic aneurysm was successfully performed under epidural anaesthesia and intravenous sedation in a 77-year-old man with a compromised tracheal lumen.
Case Report (n=1)
Epidural anaesthesia with intravenous sedation can be successfully used for endovascular stent graft repair of a ruptured thoracic aneurysm in patients with significant comorbidities.
Epidural anaesthesia with sedation may be feasible in select high-risk patients; this single case leaves open questions of safety and generalizability.
We present a case report of the anaesthetic management of a 77-year-old man requiring endovascular thoracic stent graft repair. The patient had a history of poorly controlled type II diabetes mellitus and chronic renal failure. Chest X-ray and CT scan showed a right pleural effusion, generalized emphysema and an enlarged thyroid extending into the upper mediastinum, compromising the tracheal lumen. Endovascular stent graft repair was successfully performed under epidural anaesthesia and intravenous sedation.
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Leykin et al. (2003) conducted a case report in Ruptured Thoracic Aneurysm (n=1). Epidural anaesthesia and intravenous sedation was evaluated on Successful endovascular stent graft repair. Endovascular stent graft repair of a ruptured thoracic aneurysm was successfully performed under epidural anaesthesia and intravenous sedation in a 77-year-old man with a compromised tracheal lumen.
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