Endovascular repair of dissecting abdominal aortic aneurism under spinal anesthesia in a patient with pulmonary embolus

Nevriye Salman,

doi:10.5606/tgkdc.dergisi.2011.105

Nevriye Salman¹, Halil İbrahim Uçar², Tanzer Serter², Cem Yorgancıoğlu²

¹Departments of Anaesthesiology and Reanimation, Medicana International Ankara Hospital, Ankara
²Departments of Cardiovascular Surgery, Medicana International Ankara Hospital, Ankara

DOI : 10.5606/tgkdc.dergisi.2011.105

Endovascular stent grafting procedures for aortic aneurysms use different anesthetic techniques including general anesthesia, epidural anesthesia, spinal anesthesia and local anesthesia. Although there is little information regarding which type of anesthesia is the safest, the use of local or regional anesthesia decreases morbidity and mortality compared to the use of general anesthesia, especially in patients with comorbidities. Here, we report a 70-year-old male patient with dissecting abdominal aortic aneurysm and pulmonary embolus who underwent an endovascular stent grafting procedure under spinal anesthesia with mild sedation. Also, the literature regarding the advantages and disadvantages of different anesthesia methods which may be preferred for endovascular stent grafting is reviewed.

Keywords : Aortic aneurysm; endovascular stent grafting; pulmonary embolus; spinal anesthesia

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