ANAESTHESIA MANAGEMENT FOR CAROTID PSEUDO ANEURYSM AFTER FNAC BIOPSY IN A KNOWN HYPOTHYROID PATIENT

A 50yr old male patient who was a known hypothyroidic on treatment with a swelling in the neck for 2month duration following a FNAC biopsy, investigated and diagnosed as carotid pseudoaneyrysm due to the FNAC procedure, posted for surgery. Problems anticipated in these patients are difficult airway due to large neck swelling, blood loss from the aneurysm, intraoperative maintenance of cerebral perfusion during cross clamping and measures of cerebral protection. Here we have done a case of common carotid artery pseudo aneurysm with a huge neck mass with distorted airway.