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

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...

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Main Authors: James C. S. Chiang, Michael G. Irwin, A. Hussain, Y. K. Tang, Y. T. Hiong
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/708481
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author James C. S. Chiang
Michael G. Irwin
A. Hussain
Y. K. Tang
Y. T. Hiong
author_facet James C. S. Chiang
Michael G. Irwin
A. Hussain
Y. K. Tang
Y. T. Hiong
author_sort James C. S. Chiang
collection DOAJ
description 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.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2010-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-52e2f2788e3f407c967d6f9d92d74da32025-02-03T05:46:33ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/708481708481Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava ObstructionJames C. S. Chiang0Michael G. Irwin1A. Hussain2Y. K. Tang3Y. T. Hiong4Department of Anaesthesiology, Queen Mary Hospital, Hong KongDepartment of Anaesthesiology, The University of Hong Kong, Hong KongDepartment of Anaesthesiology, Queen Mary Hospital, Hong KongDepartment of Cardiothoracic Anaesthesia, Queen Mary Hospital, Hong KongDepartment of Cardiothoracic Anaesthesia, Queen Mary Hospital, Hong KongAnterior 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.http://dx.doi.org/10.1155/2010/708481
spellingShingle James C. S. Chiang
Michael G. Irwin
A. Hussain
Y. K. Tang
Y. T. Hiong
Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
Case Reports in Medicine
title Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
title_full Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
title_fullStr Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
title_full_unstemmed Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
title_short Anaesthesia for Emergency Caesarean Section in a Patient with Large Anterior Mediastinal Tumour Presenting as Intrathoracic Airway Compression and Superior Vena Cava Obstruction
title_sort anaesthesia for emergency caesarean section in a patient with large anterior mediastinal tumour presenting as intrathoracic airway compression and superior vena cava obstruction
url http://dx.doi.org/10.1155/2010/708481
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