Korean J Anesthesiol.  2002 Nov;43(5):673-677. 10.4097/kjae.2002.43.5.673.

A Cervical Epidural Block Combined with Light General Anesthesia in Takayasu's Arteritis: A case report

• Yoon KJ
• Kim KH
• Kang JG
• Lee EK
• Yu SJ

• KMID: 2091742
• DOI: http://doi.org/10.4097/kjae.2002.43.5.673

Abstract

Takayasu's arteritis is a chronic and occlusive inflammatory disease of uncertain etiology affecting medium to large sized arteries. We anesthetized a patient who had Takayasu's arteritis affecting both common carotid arteries, the left anterior descending coronary artery, and the left subclavian artery. During beating heart coronary artery bypass graft and aorto-carotid bypass graft we chose a cervical epidural block combined with light general anesthesia as an anesthetic technique. We managed the patient successfully with consistant hemodynamic stability. The operation was done without cardiopulmonary bypass and the patient was returned to consciousness immediately after the end of the operation. We extubated the endotracheal tube in the operating room without pain. The patient maintained hemodynamic stability in the intensive care unit and we controlled the pain via a cervical epidural catheter with morphine and 0.1% bupivacaine.

Keyword

Aorto-carotid bypass graft; beating heart coronary artery bypass graft; cervical epidural block; Takayasu's arteritis

MeSH Terms

Anesthesia, General*
Arteries
Bupivacaine
Cardiopulmonary Bypass
Carotid Artery, Common
Catheters
Consciousness
Coronary Artery Bypass, Off-Pump
Coronary Vessels
Hemodynamics
Humans
Intensive Care Units
Morphine
Operating Rooms
Subclavian Artery
Takayasu Arteritis*
Transplants
Bupivacaine
Morphine