Anesthetic management of a patient with Mounier-Kuhn syndrome undergoing off-pump coronary artery bypass graft surgery: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 83-87, 2011.
Article
Dans Anglais
| WPRIM
| ID: wpr-171783
ABSTRACT
Mounier-Kuhn-syndrome patients have markedly dilated trachea and main bronchi due to an atrophy or absence of elastic fibers and thinning of smooth muscle layers in the tracheobronchial tree. Although this syndrome is rare, airway management is challenging and general anesthesia may produce fatal results. However, only a few cases have been reported and this condition is not widely known among anesthesiologists. We present the case of a tracheobronchomegaly patient undergoing an emergency off-pump coronary artery bypass. Although the trachea was markedly dilated with numerous tracheal diverticuli, there was an undilated 2 cm portion below the vocal cords found on the preoperative CT. Under a preparation of extracorporeal membrane oxygenation, we intubated and placed the balloon of an endotracheal tube (I.D. 9 mm) at this portion, and maintained ventilation during the operation. This case showed that a precise preoperative evaluation and anesthetic plan is essential for successful anesthetic management.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Atrophie
/
Trachée
/
Ventilation
/
Plis vocaux
/
Bronches
/
Oxygénation extracorporelle sur oxygénateur à membrane
/
Trachéobronchomégalie
/
Transplants
/
Pontage coronarien à coeur battant
/
Tissu élastique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Anesthesiology
Année:
2011
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS