Successful Use of Continuous Erector Spinae Plane Blocks in a Patient With Variant Angina After Large Ventral Hernia Repair

Coronary artery spasm constitutes the primary underlying pathology of variant angina. Because provocation of coronary artery spasm may occur with both excess sympathetic and excess parasympathetic stimulation, patients with this disorder have extremely limited options for perioperative pain control....

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Veröffentlicht in:Texas Heart Institute journal 2022-11, Vol.49 (6)
Hauptverfasser: Belfar, Alexandra L, Deng, Yi, Yu, Raymond C, Sabbagh, Annas
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container_title Texas Heart Institute journal
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creator Belfar, Alexandra L
Deng, Yi
Yu, Raymond C
Sabbagh, Annas
description Coronary artery spasm constitutes the primary underlying pathology of variant angina. Because provocation of coronary artery spasm may occur with both excess sympathetic and excess parasympathetic stimulation, patients with this disorder have extremely limited options for perioperative pain control. This is especially true for procedures involving extensive abdominal incision/manipulation. Whereas neuraxial analgesia might otherwise be appropriate in these cases, several studies have demonstrated that coronary artery spasm can occur as a result of epidural placement, and therefore, that this may not be an optimal choice for patients with variant angina. This report discusses the case of a patient with a preexisting diagnosis of variant angina who underwent an exploratory laparotomy with large ventral hernia repair and for whom continuous erector spinae plane blocks were successfully used as analgesic adjuncts without triggering coronary artery spasm.
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source MEDLINE; PubMed Central; Alma/SFX Local Collection
subjects Angina Pectoris, Variant - diagnosis
Case Reports
Coronary Vasospasm
Hernia, Ventral
Humans
Nerve Block
title Successful Use of Continuous Erector Spinae Plane Blocks in a Patient With Variant Angina After Large Ventral Hernia Repair
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