Modified Radical Mastectomy, the surgical procedure for carcinoma of breast is routinely performed under general anaesthesia. Patient with lung metastasis and low serum albumin are at increased risk of perioperative morbidity and mortality. We report a case of carcinoma of breast with lung metastasis, right axillary vein thrombosis and low serum albumin (1.7 gm% with A/G ratio 0.61) managed successfully under sole thoracic epidural anaesthesia.

Keywords: Thoracic Epidural Anaesthesia; Modified Radical Mastectomy; Low Serum Albumin; DVT.