title: Anesthetic Management in a Patient With Type A Aortic Dissection and Superior Vena Cava Syndrome.
abstract: BACKGROUND
  Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse.
  
  
  METHODS
  Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. He also had symptoms of SVC syndrome. To maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation.
  
  
  CONCLUSIONS
  Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible.
authors.affiliation: Department of Cardiac Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ziae
authors.initials: Z
authors.lastname: Totonchi
authors.affiliation: Department of Cardiac Surgery, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Nader
authors.initials: N
authors.lastname: Givtaj
authors.affiliation: Department of Cardiac Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Mozhgan
authors.initials: M
authors.lastname: Sakhaei
authors.affiliation: Department of Cardiac Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Afshin
authors.initials: A
authors.lastname: Foroutan
authors.affiliation: Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Mitra
authors.initials: M
authors.lastname: Chitsazan
authors.affiliation: Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Mandana
authors.initials: M
authors.lastname: Chitsazan
authors.affiliation: Department of Radiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Pouraliakbar
keywords: Aneurysm; Aortic; Chest; Syndrome