title: Severe tracheobronchial compression in a patient with Turner's syndrome undergoing repair of a complex aorto-subclavian aneurysm: anesthesia perspectives.
abstract: 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.
authors.affiliation: Department of Anesthesiology, Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors.forename: Christopher C C
authors.initials: CC
authors.lastname: Hudson
authors.forename: Jeremie
authors.initials: J
authors.lastname: Stewart
authors.forename: Carole
authors.initials: C
authors.lastname: Dennie
authors.forename: Tarek
authors.initials: T
authors.lastname: Malas
authors.forename: Munir
authors.initials: M
authors.lastname: Boodhwani
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000150:complications; D000776:Anesthesiology / Q000379:methods*; D018685:Anesthetics, Inhalation; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001982:Bronchial Diseases / Q000150:complications*; D002315:Cardiopulmonary Bypass / Q000379:methods; D002407:Catheterization, Swan-Ganz / Q000379:methods; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods; D003251:Constriction, Pathologic / Q000150:complications; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006801:Humans; D008738:Methyl Ethers; D011175:Positive-Pressure Respiration / Q000379:methods; D000077149:Sevoflurane; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D014135:Tracheal Stenosis / Q000150:complications*; D014424:Turner Syndrome / Q000601:surgery*
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane