Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass

The perioperative management of patients with mediastinal mass is challenging. Complete airway obstruction and cardiovascular collapse may occur during the induction of general anaesthesia, tracheal intubation, and positive pressure ventilation. The intubation of trachea may be difficult or even imp...

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Main Authors: Chaitali SenDasgupta, Gautam Sengupta, Kakali Ghosh, Asit Munshi, Anupam Goswami
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=6;spage=565;epage=568;aulast=SenDasgupta
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author Chaitali SenDasgupta
Gautam Sengupta
Kakali Ghosh
Asit Munshi
Anupam Goswami
author_facet Chaitali SenDasgupta
Gautam Sengupta
Kakali Ghosh
Asit Munshi
Anupam Goswami
author_sort Chaitali SenDasgupta
collection DOAJ
description The perioperative management of patients with mediastinal mass is challenging. Complete airway obstruction and cardiovascular collapse may occur during the induction of general anaesthesia, tracheal intubation, and positive pressure ventilation. The intubation of trachea may be difficult or even impossible due to the compressed, tortuous trachea. Positive pressure ventilation may increase pre-existing superior vena cava (SVC) obstruction, reducing venous return from the SVC causing cardiovascular collapse and acute cerebral oedema. We are describing here the successful management of a patient with a large anterior mediastinal mass by anaesthetizing the patient through a femoro-femoral cardiopulmonary bypass (fem-fem CPB).
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spelling doaj.art-2246c14958d340bab3c0fd4643263a082022-12-22T00:32:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492010-01-0154656556810.4103/0019-5049.72649Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal massChaitali SenDasguptaGautam SenguptaKakali GhoshAsit MunshiAnupam GoswamiThe perioperative management of patients with mediastinal mass is challenging. Complete airway obstruction and cardiovascular collapse may occur during the induction of general anaesthesia, tracheal intubation, and positive pressure ventilation. The intubation of trachea may be difficult or even impossible due to the compressed, tortuous trachea. Positive pressure ventilation may increase pre-existing superior vena cava (SVC) obstruction, reducing venous return from the SVC causing cardiovascular collapse and acute cerebral oedema. We are describing here the successful management of a patient with a large anterior mediastinal mass by anaesthetizing the patient through a femoro-femoral cardiopulmonary bypass (fem-fem CPB).http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=6;spage=565;epage=568;aulast=SenDasguptaAnaesthesiaanterior mediastinal massfemoro-femoral bypass
spellingShingle Chaitali SenDasgupta
Gautam Sengupta
Kakali Ghosh
Asit Munshi
Anupam Goswami
Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
Indian Journal of Anaesthesia
Anaesthesia
anterior mediastinal mass
femoro-femoral bypass
title Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
title_full Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
title_fullStr Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
title_full_unstemmed Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
title_short Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
title_sort femoro femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass
topic Anaesthesia
anterior mediastinal mass
femoro-femoral bypass
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2010;volume=54;issue=6;spage=565;epage=568;aulast=SenDasgupta
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AT kakalighosh femorofemoralcardiopulmonarybypassfortheresectionofananteriormediastinalmass
AT asitmunshi femorofemoralcardiopulmonarybypassfortheresectionofananteriormediastinalmass
AT anupamgoswami femorofemoralcardiopulmonarybypassfortheresectionofananteriormediastinalmass