COMBINED ERECTOR SPINAE PLANE AND PECTORAL NERVE II BLOCK FOR BREAST CANCER SURGERY IN A PATIENT WITH SEVERE VALVULAR HEART DISEASE: A PATIENT CENTERED APPROACH

Regional anaesthesia techniques are useful for breast cancer surgery, and in certain situations when general anaesthesia is deemed high risk, they can be employed as a sole anaesthetic technique. We present a case report of an 85-year-old patient who presented with severe valvular heart disease who underwent Left Breast Wide Local Excision and Axillary lymph nodes dissection. Using the Erector Spinae Plane Block (ESPB) and Pectoral Nerve Block II (PEC 2) as the only anaesthetic approach, the surgical procedure was successfully conducted. We aimed to provide effective surgical anaesthesia while minimizing the potential risks associated with general anaesthesia in this high-risk cardiovascular patient population.