Hudson Christopher C C, Stewart Jeremie, Dennie Carole, Malas Tarek, Boodhwani Munir
Department of Anesthesiology, Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Ann Card Anaesth. 2014 Oct-Dec;17(4):302-5. doi: 10.4103/0971-9784.142071.
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.