Abdominal aortic aneurysm is a life threatening condition, with a high incidence of rupture. Most patients are elderly with comorbid conditions. They are also at high risk for operative and postoperative mortality and morbidity. Thoracic epidural anesthesia is a technique providing effective postoperative pain control in cardiovascular and thoracic surgery as an adjunct to general anesthesia. Even though general anesthesia is usually preferred in these patients, epidural anesthesia is an alternative technique in selected patients. This study presents our anesthetic approach in a 79 year old patient with chronic obstructive pulmonary disease scheduled for surgery for abdominal aortic aneurysm

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