Open Abdominal Aortic Aneurysm Replacement in the Awake Patient

Abstract Nonintubated aortic surgery using various techniques has been reported, but despite publication of favorable outcomes in select patient groups, awake aortic surgery remains unpopular. Our patient had an abdominal aortic aneurysm that was unsuitable for endovascular repair. Because of the si...

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Bibliographic Details
Published in:The International journal of angiology 2017-03, Vol.26 (1), p.064-067
Main Authors: Meecham, L., Torrance, A., Vijay, S., Burtenshaw, A., Downing, R.
Format: Article
Language:English
Subjects:
Case Report
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Summary:Abstract Nonintubated aortic surgery using various techniques has been reported, but despite publication of favorable outcomes in select patient groups, awake aortic surgery remains unpopular. Our patient had an abdominal aortic aneurysm that was unsuitable for endovascular repair. Because of the significant respiratory disease, general anesthesia represented an unacceptably high risk. As a result, he underwent open AAA repair via a retroperitoneal approach with the aid of epidural anesthesia. Here, we highlight the benefits of the procedure which offer a select cohort of patients the chance of life-saving surgery.
ISSN:1061-1711
1615-5939
DOI:10.1055/s-0035-1548547