Airway obstruction after biopsy by cervical mediastinoscopy in a patient with a mediastinal mass: A case report.
10.4097/kjae.2012.63.1.65
- Author:
Yong Cheol LEE
1
;
Sang Jin PARK
;
In Seong KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. apsj0718@naver.com
- Publication Type:Case Report
- Keywords:
Airway obstruction;
Mediastinoscopy;
Superior vena cava
- MeSH:
Aged;
Airway Obstruction;
Anesthesia;
Biopsy;
Edema;
Heart;
Humans;
Mediastinoscopy;
Pulmonary Artery;
Vena Cava, Superior
- From:Korean Journal of Anesthesiology
2012;63(1):65-67
- CountryRepublic of Korea
- Language:English
-
Abstract:
Biopsy, using mediastinoscopy is commonly employed for accurate histologic diagnosis of a mediastinal mass. However, since the mass is not removed during the procedure, it may cause compression of vital structures such as major airways, the heart, the pulmonary artery, and the superior vena cava after surgery. We observed a case of a 66-year-old man with a mediastinal mass that caused severe airway obstruction during recovery from anesthesia following mediastinoscopic biopsy, probably caused by upper airway edema which seemed to originate from compression of the superior vena cava. Therefore, we suggest that unexpected airway obstruction in a patient with a mediastinal mass can be due to superior vena cava compression.
