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Ann Card Anaesth ; 17(4): 302-5, 2014.
Article in English | MEDLINE | ID: mdl-25281630

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)
Anesthesiology/methods , Aortic Aneurysm, Thoracic/surgery , Bronchial Diseases/complications , Subclavian Artery/abnormalities , Tracheal Stenosis/complications , Turner Syndrome/surgery , Adult , Airway Obstruction/complications , Anesthetics, Inhalation , Aortic Aneurysm, Thoracic/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 , Sevoflurane , Subclavian Artery/surgery
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