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. 2010 Nov;54(6):565-8.
doi: 10.4103/0019-5049.72649.

Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass

Chaitali Sendasgupta  1 , Gautam Sengupta, Kakali Ghosh, Asit Munshi, Anupam Goswami
Affiliations

Femoro-femoral cardiopulmonary bypass for the resection of an anterior mediastinal mass

Chaitali Sendasgupta et al. Indian J Anaesth. 2010 Nov.

Abstract

The perioperative management of patients with mediastinal mass is challenging. Complete airway obstruction and cardiovascular collapse may occur during the induction of general anaesthesia, tracheal intubation, and positive pressure ventilation. The intubation of trachea may be difficult or even impossible due to the compressed, tortuous trachea. Positive pressure ventilation may increase pre-existing superior vena cava (SVC) obstruction, reducing venous return from the SVC causing cardiovascular collapse and acute cerebral oedema. We are describing here the successful management of a patient with a large anterior mediastinal mass by anaesthetizing the patient through a femoro-femoral cardiopulmonary bypass (fem-fem CPB).

Keywords: Anaesthesia; anterior mediastinal mass; femoro-femoral bypass.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Chest X-ray
Figure 2
Figure 2
Sagittal view of MRI showing the trachea, obstruction and the mass
Figure 3
Figure 3
Cross-sectional view of MRI showing the trachea and tortuosity of the mass
See this image and copyright information in PMC

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