A. Trikha et al., Thoracic epidural anesthesia for modified radical mastectomy in a patient with cryptogenic fibrosing alveolitis: A case report, J CLIN ANES, 12(1), 2000, pp. 75-79
A case of advanced cryptogenic fibrosing alveolitis (CFA) with multiple bul
lae and extensive pulmonary fibrosis, scheduled for modified radical mastec
tomy for carcinoma of breast, is presented. This patient had ischemic heart
disease, corticosteroid-induced hypertension, diabetes mellitus, and a dif
ficult airway. Thoracic epidural segmental anesthesia was successfully give
n to this patient. Preoperative problems, perioperative management, and alt
ernative anesthetic techniques are discussed. (C) 2000 by Elsevier Science
Inc.