REPAIR OF PSEUDOANEURYSM OF COMMON CAROTID ARTERY-AN ANAESTHETIC CHALLENGE

A 56 year old male patient, known hypertensive and chronic smoker was planned for surgical repair of pseudo aneurysm of left common carotid artery. The neck swelling was impinging upon and displacing the trachea. The huge neck swelling and tracheal deviation poses a challenge to anesthesiologists in airway management.The affected carotid artery was clamped during the repair. The present case highlights the precautions taken, the detection and the strategies for preventing the impending cerebral insult during such surgeries whenever the carotid artery is clamped.