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 shoowed a right pleural effusion, generalized emphysema and an enlarged thyroid extending into the upper mediastinum, compromising the tracheal lumen. Endovascular stent grat repair was successfully performed under epidural anaesthesia and intravenous sedation.
BertrandM., GodetG., KoskasF.Endovascular treatment of abdominal aortic aneurysm: is there a benefit regarding postoperative outcome?Eur J of Anaesth.2001; 18: 245–250.
3.
CrawfordS.E., CrawfordJ.L., Hazim SfiJ.Thoracoabdominal aortic aneurisms: Preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients.J Vasc Surg1986; 3: 389–404.
4.
TaylorP.R., GainesP.A., McGuinness. Thoracic aortic stent grafts—Early experience from two centres using commercially available devices.Eur J Vasc Endovasc Surg2001; 22: 70–76.
5.
GreenbergR., ReschT., NymanU.Endovascular repair of the descending thoracic aortic aneurysm: an early experience with intermediate-term follow-up.J Vasc Surg2000; 31: 147–156.
StrachanA.N., EdwardsN.D.Anaesthesia for stent graft repair of thoracic aneurysm and coarctation of the aorta.Eur J Anaesth2001; 18: 759–762.
9.
BakerA.B., BookallilM.J., LloydG.Intentional asystole during endoluminal thoracic aortic surgery without cardiopulmonary bypass.Br J Anaesth1997; 78: 444–448.
10.
BettexD.A., LachatM., PfammatterT.To compare general, epidural and local anaesthesia for endovascular aneurysm repair (EVAR)Eur J Vasc Endovasc Surg2001; 21: 179–184.
11.
CaoP., ZannettiS., ParianiG.Epidural anaesthesia reduces length of hospitalization after endoluminal abdominal aortic aneurysm repair.J Vasc Surg1999; 30: 651–657.
12.
YeagerM.P., GlassD.D., NeffR.K., Brinck-JohnsenT.Epidural anesthesia and analgesia in high risk surgical patients.Anesthesiology1987; 66: 729–736.
13.
TumanK.J., McCarthyR.J., MarchR.J.Effects of epidural anesthesia on coagulation and outcome after major vascular surgery.Anesth Analg1991; 73: 696–704.
14.
LeottaL., MerloM., BitossiG.Mid-term results of endovascular repair for abdominal aortic aneurysm, with loco-regional anesthesia, in high-risk patients.Minerva Cardioangiol2001; 49: 23–9.
15.
BakerA.B., LloydG., FraserT.A., BookallilM.J., YezerskiS.D.Retrospective review of 100 cases of endoluminal aortic stent graft surgery from on anaesthetic perspective.Anaesth Intensive Care1997; 25: 378–384.
16.
ModigJ.Regional anaesthesia and blood loss.Acta Anaestesiologica Scand1988; 32; 89: 44–48.
17.
CristophersonR., NorrisE.J.Anesthesia for the cardiac patient: regional versus general anesthesia.Anesth Clin North Am1997; 5: 37–47.
18.
SchoderM., GrabenwögerM.Endovascular stent-graft repair of complicated penetrating atherosclerotic ulcers of the descending aorta.J Vasc Surg2002; 36: 720–726.
19.
American Society of Regional Anesthesia.Neuraxial anesthesia and anticoagulation. Consensus statements. American Society of Regional Anesthesia Consensus Conference. Chicago, Illinois, May 2–3, 1998.
