Abstract
We report a case of an oral surgery administrating general anesthesia for a 76-year-old female patient with thoracic aortic aneurysm (TAA). She was refered to our hospital because radio gram shows multilocular radiolucency in her mandible. She was diagnosed as TAA four years ago. The aneurysmal size is about 7 cm in diameter so that the emergency vascular surgery was required. However, since there was infection in her mouth. We determined to perform the oral surgery first in the presence of her cardiac surgeon, after discussion with him. We needed to pay careful attention to change in the circulatory responses.
The cyst was treated by enucleation, and the circulatory response during the operation was stable. About a year later, vascular surgery was performed.
Four years have passed since the operation and the patient's progress has benn good, without any signs of recurrence.
