You are asked to review a 76-year-old man for planned thoracic endovascular aortic repair (TEVAR) on your list in seven days' time. His aneurysm includes the origin of the left subclavian artery and extends distally to the renal arteries.
He has a background of hypertension, type 2 diabetes mellitus and a transient ischaemic attack (TIA).
He has a body mass index of 32 kg/m2 and has a 24 pack-year history of smoking, having ceased smoking when he suffered the TIA four months ago.
His medications include:
- clopidogrel 75mg daily
- rosuvastatin 10mg daily
- perindopril 4mg mane
- metoprolol 25mg bd
- metformin 1000mg bd
Sections covered in this viva
Assessment and discussion of risk for spinal cord injuryAnaesthetic plan focused on spinal cord protectionAssessment and management of postoperative leg weakness