Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Medicine
Volume 2010, Article ID 708481, 5 pages
http://dx.doi.org/10.1155/2010/708481
Case Report

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

1Department of Anaesthesiology, Queen Mary Hospital, Hong Kong
2Department of Anaesthesiology, The University of Hong Kong, Hong Kong
3Department of Cardiothoracic Anaesthesia, Queen Mary Hospital, Hong Kong

Received 23 May 2010; Accepted 16 September 2010

Academic Editor: Albert Dahan

Copyright © 2010 James C. S. Chiang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. T. Van Winter, M. A. Wilkowske, E. G. Shaw, P. L. Ogburn Jr., and D. J. Pritchard, “Lung cancer complicating pregnancy: case report and review of literature,” Mayo Clinic Proceedings, vol. 70, no. 4, pp. 384–387, 1995. View at Google Scholar · View at Scopus
  2. E. Crosby, “Clinical case discussion: anesthesia for Cesarean section in a parturient with a large intrathoracic tumour,” Canadian Journal of Anesthesia, vol. 48, no. 6, pp. 575–583, 2001. View at Google Scholar · View at Scopus
  3. W. J. Martin, “Cesarean section in a pregnant patient with an anterior mediastinal mass and failed supradiaphragmatic irradiation,” Journal of Clinical Anesthesia, vol. 7, no. 4, pp. 312–315, 1995. View at Publisher · View at Google Scholar · View at Scopus
  4. L. R. Ferrari and R. F. Bedford, “Anterior mediastinal mass in a pregnant patient: anesthetic management and considerations,” Journal of Clinical Anesthesia, vol. 1, no. 6, pp. 460–463, 1989. View at Google Scholar · View at Scopus
  5. J. W. Szokol, D. Alspach, M. K. Mehta, B. V. Parilla, and M. J. Liptay, “Intermittent airway obstruction and superior vena cava syndrome in a patient with an undiagnosed mediastinal mass after cesarean delivery,” Anesthesia and Analgesia, vol. 97, no. 3, pp. 883–884, 2003. View at Google Scholar · View at Scopus
  6. Y.-Y. Lai and H.-C. Ho, “Total airway occlusion in a parturient with a mediastinal mass after anesthetic induction—a case report,” Acta Anaesthesiologica Taiwanica, vol. 44, no. 2, pp. 127–130, 2006. View at Google Scholar · View at Scopus
  7. J. Dasan, J. Littleford, K. McRae, D. Farine, and T. Winton, “Mediastinal tumour in a pregnant patient presenting as acute cardiorespiratory compromise,” International Journal of Obstetric Anesthesia, vol. 11, no. 1, pp. 52–56, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  8. F. T. Ward and R. B. Weiss, “Lymphoma and pregnancy,” Seminars in Oncology, vol. 16, no. 5, pp. 397–409, 1989. View at Google Scholar · View at Scopus
  9. J. Pullerits and R. Holzman, “Anaesthesia for patients with mediastinal masses,” Canadian Journal of Anaesthesia, vol. 36, no. 6, pp. 681–688, 1989. View at Google Scholar · View at Scopus
  10. S. M. Zeldis, “Dyspnea during pregnancy: distinguishing cardiac from pulmonary causes,” Clinics in Chest Medicine, vol. 13, no. 4, pp. 567–585, 1992. View at Google Scholar · View at Scopus
  11. R. Elkus and J. Popovich Jr., “Respiratory physiology in pregnancy,” Clinics in Chest Medicine, vol. 13, no. 4, pp. 555–565, 1992. View at Google Scholar · View at Scopus
  12. S. Luis, D. Christie, A. Kaminski, L. Kenny, and M. Peres, “Pregnancy and radiotherapy: management options for minimising risk, case series and comprehensive literature review,” Journal of Medical Imaging and Radiation Oncology, vol. 53, no. 6, pp. 559–568, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  13. Y. K. Chan, K. P. Ng, C. L. Chiu, G. Rajan, K. C. Tan, and Y. C. Lim, “Anesthetic management of a parturient with superior vena cava obstruction for cesarean section,” Anesthesiology, vol. 94, no. 1, pp. 167–169, 2001. View at Google Scholar · View at Scopus
  14. U. Munnur, B. De Boisblanc, and M. S. Suresh, “Airway problems in pregnancy,” Critical Care Medicine, vol. 33, no. 10, pp. S259–S268, 2005. View at Publisher · View at Google Scholar · View at Scopus
  15. M. H. Goh, X. Y. Liu, and Y. S. Goh, “Anterior mediastinal masses: an anaesthetic challenge,” Anaesthesia, vol. 54, no. 7, pp. 670–674, 1999. View at Publisher · View at Google Scholar · View at Scopus
  16. A. Buvanendran, P. Mohajer, X. Pombar, and K. J. Tuman, “Perioperative management with epidural anesthesia for a parturient with superior vena caval obstruction,” Anesthesia and Analgesia, vol. 98, no. 4, pp. 1160–1163, 2004. View at Google Scholar · View at Scopus
  17. W. J. Martin, “Cesarean section in a pregnant patient with an anterior mediastinal mass and failed supradiaphragmatic irradiation,” Journal of Clinical Anesthesia, vol. 7, no. 4, pp. 312–315, 1995. View at Publisher · View at Google Scholar · View at Scopus
  18. LS. Reisner and D. Lin, “Anesthesia for cesarean section,” in Obstetric Anesthesia: Principles and Practice, D. H. Chestnut, Ed., p. 465, Mosby, St. Louis, Mo, USA, 2nd edition, 1999. View at Google Scholar
  19. W. D. Ngan Kee, K. S. Khaw, and F. F. Ng, “Comparison of phenylephrine infusion regimens for maintaining maternal blood pressure during spinal anaesthesia for Caesarean section,” British Journal of Anaesthesia, vol. 92, no. 4, pp. 469–474, 2004. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  20. M. T. Kluger, “Ephedrine may predispose to arrhythmias in obstetric anaesthesia,” Anaesthesia and Intensive Care, vol. 28, no. 3, p. 336, 2000. View at Google Scholar · View at Scopus
  21. C. R. Harber, D. M. Levy, S. Chidambaram, and M. B. Macpherson, “Life-threatening bronchospasm after intramuscular carboprost for postpartum haemorrhage,” BJOG, vol. 114, no. 3, pp. 366–368, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus