Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction

oleh: James C. S. Chiang, Michael G. Irwin, A. Hussain, Y. K. Tang, Y. T. Hiong

Format: Article
Diterbitkan: Wiley 2010-01-01

Deskripsi

Anterior mediastinal mass is an uncommon pathology that presents significant anaesthetic challenges because of cardiopulmonary compromise. We present a case that presented in the third trimester of pregnancy with severe breathlessness, orthopnoea, and symptoms of superior vena cava obstruction. The patient had emergency Caesarean section under epidural anaesthesia with a good outcome. The paper discusses the relevant perioperative considerations for this complex scenario and reviews reports of similar conditions.