Korean J Anesthesiol.  2012 Jul;63(1):65-67. 10.4097/kjae.2012.63.1.65.

Airway obstruction after biopsy by cervical mediastinoscopy in a patient with a mediastinal mass: A case report

• Lee YC
• Park SJ
• Kim IS

• KMID: 2092342
• DOI: http://doi.org/10.4097/kjae.2012.63.1.65

Abstract

Biopsy, using mediastinoscopy is commonly employed for accurate histologic diagnosis of a mediastinal mass. However, since the mass is not removed during the procedure, it may cause compression of vital structures such as major airways, the heart, the pulmonary artery, and the superior vena cava after surgery. We observed a case of a 66-year-old man with a mediastinal mass that caused severe airway obstruction during recovery from anesthesia following mediastinoscopic biopsy, probably caused by upper airway edema which seemed to originate from compression of the superior vena cava. Therefore, we suggest that unexpected airway obstruction in a patient with a mediastinal mass can be due to superior vena cava compression.

Keyword

Airway obstruction; Mediastinoscopy; Superior vena cava

MeSH Terms

Aged
Airway Obstruction
Anesthesia
Biopsy
Edema
Heart
Humans
Mediastinoscopy
Pulmonary Artery
Vena Cava, Superior