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Eur J Cardiothorac Surg 2001;20:415-417
© 2001 Elsevier Science NL

Case report

Thoracic epidural anesthesia for coronary bypass via left anterior thoracotomy in the conscious patient

Division of Cardiothoracic Surgery, University of Miami School of Medicine, Miami Veterans Affairs Hospital, Miami, Florida, FL, USA

Received 5 December 2000; received in revised form 6 January 2001; accepted 30 May 2001.

Corresponding author. Section of Cardiothoracic Surgery MEB-500B, UMDNJ/ Robert Wood Johnson School of Medicine, 1 Robert Wood Johnson Place, New Brunswick, NJ 08903, USA. Tel.: +1-732-235-8725; fax: +1-305-235-8727
e-mail: andersm2{at}umdnj.edu

Cardiac surgery is perceived to be maximally invasive and fraught with complications. Secondary to this, cardiothoracic surgeons have been refining traditional techniques to minimize their invasive nature. Epidural anesthesia has been utilized safely and effectively for numerous surgical procedures to reduce the associated morbidity. In hopes of achieving a similar result, we utilized thoracic epidural anesthesia for a coronary artery bypass via a left anterior thoracotomy, in an awake, spontaneously breathing patient. To the best of our knowledge, this is the first reported case utilizing this approach. Herein we report the results and technique utilized.

Key Words: Coronary artery bypass grafting • Thoracic epidural anesthesia

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