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Severe tracheobronchial compression in a patient with Turner's syndrome undergoing repair of a complex aorto-subclavian aneurysm: Anesthesia perspectives


1 Department of Anesthesiology, Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
2 Department of Radiology, Division of Cardiac Imaging, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
3 Department of Surgery, Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Correspondence Address:
Christopher C .C. Hudson
Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, 40 Ruskin Street H2410, Ottawa, Ontario K1Y 4W7
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.142071

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Year : 2014  |  Volume : 17  |  Issue : 4  |  Page : 302-305

 

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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.






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1 Department of Anesthesiology, Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
2 Department of Radiology, Division of Cardiac Imaging, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
3 Department of Surgery, Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada

Correspondence Address:
Christopher C .C. Hudson
Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, 40 Ruskin Street H2410, Ottawa, Ontario K1Y 4W7
Canada
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.142071

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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