Anaesthetic Management of a Right Subclavian Artery Pseudoaneurysm Posted for Aneurysmal Repair - Abstract
Introduction: Symptomatic patient with right subclavian artery pseudoaneurysm posted for elective aneurysmal repair. Incidence represents less than 1% of all vascular lesions. Case Presentation: 62 year old male patient
Main Symptoms: Patient had complaints of hoarseness of voice, difficulty in swallowing, and breathing difficulty for 1 week. Main Diagnosis: Pseudo aneurysm of a right subclavian artery causing compression of right Internal jugular vein and left Superior vena cava, Diabetes mellitus Main Interventions: Indirect Laryngoscopy, Computed Tomography-Aortogram, thoracotomy, aneurysmal repair Main Outcomes: Repair of right subclavian artery pseudo aneurysm Conclusion: In pts with subclavian artery pseudo aneurysm repair, major concerns will be of blood loss, postop analgesia, postop integrity of the repaired artery, and hemodynamic stability. All these concerns were taken care of intraoperative via controlled ventilation, pectoral nerve block, vasopressors, maintaining airway pressures, and smooth extubation