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Ann Card Anaesth ; 2014 Oct; 17(4): 302-305
Article in English | IMSEAR | ID: sea-153704

ABSTRACT

We present a case of severe tracheobronchial compression from a complex aorto‑subclavian aneurysm in a patient with Turner’s syndrome undergoing open surgical repair. Significant airway compression is a challenging situation and requires careful preoperative preparation, maintenance of spontaneous breathing when possible, and consideration of having an alternative source of oxygenation and circulation established prior to induction of general anesthesia. Cardiopulmonary monitoring is essential for safe general anesthesia and diagnosis of unexpected intraoperative events.


Subject(s)
Adult , Airway Obstruction/complications , Anesthesiology/methods , Anesthetics, Inhalation , Aortic Aneurysm, Thoracic/complications , Aortic Aneurysm, Thoracic/surgery , Bronchial Diseases/complications , Cardiopulmonary Bypass/methods , Catheterization, Swan-Ganz/methods , Circulatory Arrest, Deep Hypothermia Induced/methods , Constriction, Pathologic/complications , Echocardiography, Transesophageal/methods , Female , Humans , Methyl Ethers , Positive-Pressure Respiration/methods , Subclavian Artery/abnormalities , Subclavian Artery/surgery , Tracheal Stenosis/complications , Turner Syndrome/surgery
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