%0 Journal Article
%T A Case of Subclavian Artery Aneurysm with History of Ischemic Heart Disease Operated Under Cervical Epidural Anesthesia
%A Amrita Rath
%A Atul Kumar Singh
%A J. Abhinay
%A Sandeep Loha
%J Archive of "Anesthesia, Essays and Researches".
%D 2017
%R 10.4103/0259-1162.183160
%X Subclavian artery aneurysm is usually operated under general anesthesia (GA), but in specific situations, it can also be conducted under regional anesthesia (RA) such as cervical epidural anesthesia (CEA). A 48-year-old male presented with chief complaint of progressive swelling in the right side of the neck for the past 3 months following trauma. He was diagnosed as subclavian artery aneurysm, and surgical intervention was advised. He had previous history of angina 4 months back for which tablet aspirin 75 mg and tablet clopidogrel 75 mg once daily was prescribed. Cardiological evaluation revealed of an ejection fraction of around 30% with mild left ventricular hypokinesia and grade 2 diastolic dysfunction. Due to the poor cardiac functional status of the patient, RA with CEA was planned. The risk with GA in cases with a history of myocardial ischemia is more than RA, hence, it is better to use CEA which is equally efficacious in such high-risk cases
%K Cervical epidural anesthesia
%K regional anesthesia
%K subclavian artery aneurysm
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341637/