Korean J Anesthesiol.  2008 Jun;54(6):703-707. 10.4097/kjae.2008.54.6.703.

Percutaneous Cardiopulmonary Support for Tracheal Stenosis Caused by Thyroid Mass: A case report

• Yoo TJ
• Lim YH
• Lee S
• Yoo BH
• Woo SH
• Yon JH

• KMID: 1763532
• DOI: http://doi.org/10.4097/kjae.2008.54.6.703

Abstract

A 76-year-old woman presented with tracheal stenosis caused by a thyroid mass. Her symptoms included dyspnea and wheezing. Cervical computed tomography scans revealed an 8.5 x 7.8 cm sized mass and a trachea with an internal lumen 4.3 mm in diameter. The mass caused marked stenosis and deviation of the airway. However, it was not clear if the tracheal lumen was invaded by the mass. We predicted that airway management would be problematic, even in the absence of invasion. Options for intubation included small sized endotracheal tube, fiberoptic bronchoscopy-guided intubation, high frequency jet ventilation, and percutaneous cardiopulmonary support (PCPS). We decided to use PCPS to reduce the chance of ineffective oxygenation and related complications. After supplementing PCPS with epidural anesthesia, general anesthesia was performed without complications. The patient underwent surgical removal of the mass. PCPS was discontinued on the day of surgery, and after two weeks of uncomplicated mechanical ventilatory support, the patient was discharged home.

Keyword

percutaneous cardiopulmonary support; thyroid mass; tracheal stenosis

MeSH Terms

Aged
Airway Management
Anesthesia, Epidural
Anesthesia, General
Constriction, Pathologic
Dyspnea
Female
High-Frequency Jet Ventilation
Humans
Intubation
Oxygen
Respiratory Sounds
Thyroid Gland
Trachea
Tracheal Stenosis
Oxygen