[Cervical epidural anesthesia for carotid mycotic aneurysms].
Extracranial mycotic aneurysms of the carotid are unusual. We present such an aneurysm of the right primary carotid caused by enteritis due to Salmonella in a 75-year-old patient at high risk for surgery (myocardial ischemia evolving over 3 months) and with coexisting stenosis of 75% of the left internal carotid. Endarterectomy of the left internal carotid, with shunting, was performed, after which the right primary carotid was tied during the same operation. Epidural anesthesia to C6-C7 was provided through a catheter supplemented with an intravenous propofol infusion. Neurological and hemodynamic variables monitored during surgery were stable. No neurological deficits or myocardial ischemic changes were recorded. Three months after discharge the patient was asymptomatic.
Llorente
A
A
Servicio de Anestesiología y Reanimación, Complejo Hospitalario de León.
Bronte
E
E
Ramos
G
G
Carpintero
M
M
Giménez
C
C
D000368:Aged; D000767:Anesthesia, Epidural; D000785:Aneurysm, Infected / Q000150:complications / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications; D002574:Cervical Vertebrae; D003967:Diarrhea / Q000150:complications / Q000382:microbiology; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery; D015742:Propofol; D012480:Salmonella Infections / Q000150:complications / Q000601:surgery*; D012477:Salmonella enteritidis / Q000302:isolation & purification*
D015742:Propofol
Anestesia epidural cervical para aneurismas micóticos carotídeos.