title: Use of a larynyngeal mask airway during aortic valve replacement.
abstract: We report the elective use of a laryngeal mask airway during cardiac surgery for congenital tracheal stenosis. A 53-year-old woman with severe aortic valve stenosis was scheduled for aortic valve replacement. During anesthesia induction, the anesthesiologists attempted conventional intubation but failed. Fiberoptic tracheal examination and computed tomography showed a tracheal stenosis with 5 mm minimal diameter. A laryngeal mask airway was used at the patient's rescheduled surgery. The laryngeal mask airway use did not lead any surgical complication. We concluded that the laryngeal mask airway may be considered as an alternative to conventional intubation in patients with tracheal stenosis.
authors.affiliation: Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Saitama, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Fujimoto
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamaguchi
authors.forename: Koji
authors.initials: K
authors.lastname: Kawahito
authors.forename: Hideo
authors.initials: H
authors.lastname: Adachi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ino
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000628:therapy*; D002315:Cardiopulmonary Bypass; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007430:Intraoperative Care; D017214:Laryngeal Masks; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000151:congenital / Q000628:therapy