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A right para-tracheal mass extending into the anterior mediastinum: An anesthetic management conundrum


1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Department of Pathology and Laboratory Medicine, A M Rywlin MD, Mount Sinai Medical Center, Miami Beach, Florida, USA
3 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach Anesthesiology Associates, Inc., Miami Beach, Florida, USA

Correspondence Address:
Andres Bacigalupo Landa
Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati - 45229, OH
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_122_20

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Year : 2021  |  Volume : 24  |  Issue : 3  |  Page : 381-383

 

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The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We present the case of a 70-year-old man with a right para-tracheal mass extending into the anterior mediastinum with 90% mid-tracheal lumen obstruction who was successfully managed with venous-venous extra-corporeal membrane oxygenation (ECMO) during mass debulking and tracheal stent placement.






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1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Department of Pathology and Laboratory Medicine, A M Rywlin MD, Mount Sinai Medical Center, Miami Beach, Florida, USA
3 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach Anesthesiology Associates, Inc., Miami Beach, Florida, USA

Correspondence Address:
Andres Bacigalupo Landa
Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati - 45229, OH
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_122_20

Rights and Permissions

The anesthetic management of patients with a mediastinal mass represent a challenge due to the potential for difficult ventilation and intubation, as well as the risk of cardiovascular collapse upon induction of general anesthesia. Different strategies and alternatives have been described. We present the case of a 70-year-old man with a right para-tracheal mass extending into the anterior mediastinum with 90% mid-tracheal lumen obstruction who was successfully managed with venous-venous extra-corporeal membrane oxygenation (ECMO) during mass debulking and tracheal stent placement.






[FULL TEXT] [PDF]*


        
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