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CASE REPORT
Year : 2010  |  Volume : 54  |  Issue : 6  |  Page : 565-568

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


1 Department of Anaesthesiology, Institute of Post Graduate Medical Education and Research, Kolkata, India
2 Department of Cardiothoracic & Vascular Surgery, Institute of Post Graduate Medical Education and Research, Kolkata, India

Correspondence Address:
Chaitali SenDasgupta
Department of Anaesthesiology, Institute of Post Graduate Medical Education and Research, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.72649

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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).


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