Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist
Patients with Marfan syndrome present anatomic variations that may increase the risk of a difficult airway. Moreover, they can present large aortic aneurysms, which may cause extrinsic airway compression. Therefore, difficult ventilation during general anesthesia poses a challenge in that the anesth...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Annals of Cardiac Anaesthesia |
Subjects: | |
Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=1;spage=86;epage=89;aulast=Montane-Muntane |
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author | Mar Montane-Muntane María Ascaso Lorena Rivera-Vallejo Ricard Navarro-Ripoll |
author_facet | Mar Montane-Muntane María Ascaso Lorena Rivera-Vallejo Ricard Navarro-Ripoll |
author_sort | Mar Montane-Muntane |
collection | DOAJ |
description | Patients with Marfan syndrome present anatomic variations that may increase the risk of a difficult airway. Moreover, they can present large aortic aneurysms, which may cause extrinsic airway compression. Therefore, difficult ventilation during general anesthesia poses a challenge in that the anesthesiologist has to promptly make a crucial differential diagnosis. Multidisciplinary preoperative assessment and planning of the airway and ventilation management are of utmost importance in such uncommon and highly complex clinical cases. Fiberoptic bronchoscopy is probably a really useful tool in order to assess the severity and extent of the airway compression, both preoperatively and intraoperatively. We present a clinical case where difficult ventilation occurred immediately after the induction of general anesthesia. |
first_indexed | 2024-04-10T09:57:50Z |
format | Article |
id | doaj.art-9581e2366a654ceda77e6fd85fca67c6 |
institution | Directory Open Access Journal |
issn | 0971-9784 |
language | English |
last_indexed | 2024-04-10T09:57:50Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Cardiac Anaesthesia |
spelling | doaj.art-9581e2366a654ceda77e6fd85fca67c62023-02-16T12:00:25ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842023-01-01261868910.4103/aca.aca_309_20Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologistMar Montane-MuntaneMaría AscasoLorena Rivera-VallejoRicard Navarro-RipollPatients with Marfan syndrome present anatomic variations that may increase the risk of a difficult airway. Moreover, they can present large aortic aneurysms, which may cause extrinsic airway compression. Therefore, difficult ventilation during general anesthesia poses a challenge in that the anesthesiologist has to promptly make a crucial differential diagnosis. Multidisciplinary preoperative assessment and planning of the airway and ventilation management are of utmost importance in such uncommon and highly complex clinical cases. Fiberoptic bronchoscopy is probably a really useful tool in order to assess the severity and extent of the airway compression, both preoperatively and intraoperatively. We present a clinical case where difficult ventilation occurred immediately after the induction of general anesthesia.http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=1;spage=86;epage=89;aulast=Montane-Muntaneairway obstructionaortopexydifficult ventilationlarge aortic aneurysmmediastinal mass syndrome |
spellingShingle | Mar Montane-Muntane María Ascaso Lorena Rivera-Vallejo Ricard Navarro-Ripoll Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist Annals of Cardiac Anaesthesia airway obstruction aortopexy difficult ventilation large aortic aneurysm mediastinal mass syndrome |
title | Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist |
title_full | Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist |
title_fullStr | Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist |
title_full_unstemmed | Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist |
title_short | Difficult ventilation in a patient with a giant aortic aneurysm: A challenge for the anesthesiologist |
title_sort | difficult ventilation in a patient with a giant aortic aneurysm a challenge for the anesthesiologist |
topic | airway obstruction aortopexy difficult ventilation large aortic aneurysm mediastinal mass syndrome |
url | http://www.annals.in/article.asp?issn=0971-9784;year=2023;volume=26;issue=1;spage=86;epage=89;aulast=Montane-Muntane |
work_keys_str_mv | AT marmontanemuntane difficultventilationinapatientwithagiantaorticaneurysmachallengefortheanesthesiologist AT mariaascaso difficultventilationinapatientwithagiantaorticaneurysmachallengefortheanesthesiologist AT lorenariveravallejo difficultventilationinapatientwithagiantaorticaneurysmachallengefortheanesthesiologist AT ricardnavarroripoll difficultventilationinapatientwithagiantaorticaneurysmachallengefortheanesthesiologist |