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50th Annual Regional Anesthesiology and Acute Pain Medicine Meeting
May 1 - 3, 2025 | Orlando, Florida
6497
RARE, SEVERE COMPLICATION DURING PARAVERTEBRAL NERVE BLOCK
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Medically Challenging Cases
Case Report: Rare, Severe Complication During Paravertebral Nerve Block
Patient:
• 48-year-old active female
Admitted for: Bilateral mastectomy and breast reduction
Patient History:
•Right invasive ductal carcinoma (IDC)
•Chronic sinus bradycardia (heart rate: 42–46 bpm)
•Remote situational syncope (2 episodes in her 20s during intense emotional stress; extensive cardiac/neurologic workup was unrevealing)
•Mild anxiety
Key Preoperative Note:
During her pre-op assessment, her history of syncope was discussed, but her persistent bradycardia was attributed to exercise-induced adaptation, and she remained asymptomatic