title: Anesthesia for cesarean delivery in a patient with large anterior mediastinal tumor presenting as intrathoracic airway compression.
abstract: Anterior mediastinal mass is a rare pathology that presents considerable anesthetic challenges due to cardiopulmonary compromise. We present a case that was referred to us in the third trimester of pregnancy with severe breathlessness and orthopnea. An elective cesarean delivery was performed under combined spinal epidural anesthesia with a favorable outcome. We discuss the perioperative considerations in these patients with a review of the literature.
authors.affiliation: Department of Anaesthesiology, M S Ramaiah Medical College, Bangalore, Karnataka, India.
authors.forename: Yatish
authors.initials: Y
authors.lastname: Bevinaguddaiah
authors.affiliation: Department of Anaesthesiology, M S Ramaiah Medical College, Bangalore, Karnataka, India.
authors.forename: Shivakumar
authors.initials: S
authors.lastname: Shivanna
authors.affiliation: Department of Anaesthesiology, M S Ramaiah Medical College, Bangalore, Karnataka, India.
authors.forename: Vinayak Seenappa
authors.initials: VS
authors.lastname: Pujari
authors.affiliation: Department of Anaesthesiology, M S Ramaiah Medical College, Bangalore, Karnataka, India.
authors.forename: Manjunath Abloodu
authors.initials: MA
authors.lastname: Chikkapillappa
keywords: Anteriormediastinal mass; airway obstruction; cesarean delivery; combined spinal epidural analgesia; pregnancy