Abdominal Aortic Aneurysm Repair

Case Synopsis

A 74-year-old man with chronic stable angina, hypertension, and a previous myocardial infarction is undergoing an endovascular aneurysm repair (EVAR) of an infrarenal para-anastomotic aortic aneurysm under general anesthesia. Previous dipyridamole thallium testing revealed a large, fixed myocardial defect with no evidence of reversible disease. It has been 4 months since his prior open abdominal aortic aneurysm (AAA) repair in which his postoperative recovery involved a 1-week stay in the intensive care unit (ICU) and treatment for acute kidney injury (AKI). During deployment of the endovascular graft, there is mild hypertension that resolves quickly after balloon deflation. A total of 2 L of Plasmalyte was given during the case. The patient is successfully extubated at the end of the procedure and transported to the ICU.