Dilek Altun1, Özlem Çınar1, Emre Özker2, Ayda Türköz3

1Department of Anesthesiology and Reanimation, Başkent University İstanbul Hospital, İstanbul, Turkey
2Department of Cardiovascular Surgery, Başkent University İstanbul Hospital, İstanbul, Turkey
3Department of Anesthesiology and Reanimation, Emsey Hospital, İstanbul, Turkey

Keywords: Axillo-axillary bypass, cervical epidural anesthesia, coronary-subclavian steal.

Abstract

Axillo-axillary bypass grafting is considered the operation of choice for patients with subclavian steal syndrome. Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges. Presently described is case of chronic obstructive lung disease and coronary artery disease in a 52-year-old man who required axillo-axillary bypass surgery to treat stenosis at the origin of left subclavian artery. Successful anesthetic management was achieved for patient undergoing axillary-axillary bypass surgery using a cervical epidural technique.