Indian Journal of Anaesthesia  
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Year : 2013  |  Volume : 57  |  Issue : 2  |  Page : 185-187

Doxorubicin-induced dilated cardiomyopathy for modified radical mastectomy: A case managed under cervical epidural anaesthesia

Department of Anaesthesiology, Sanjay Gandhi Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Anuj Jain
Sanjay Gandhi Institute of Medical Sciences, Lucknow - 226 016, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5049.111852

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Doxorubicin (Dox) is an antineoplastic agent used in a wide variety of malignancies. Its use is limited because of a cumulative, dose-dependent irreversible cardiomyopathy. We report a case of Dox induced cardiomyopathy, posted for modified radical mastectomy. The patient had poor LV function along with moderate pulmonary hypertension. Regional anaesthesia was planned as the risk associated with general anaesthesia was more. A cervical epidural was placed and a block adequate for surgery could be achived. The haemodynamic parameters as measured by esophageal doppler showed a stable trend. The surgery could be managed well under cervical epidural and also provided a good postoperative pain relief.

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