Anesthetic management in a patient with type A aortic dissection and superior vena cava syndrome

Ziae Totonchi; Nader Givtaj; Mozhgan Sakhaei; Afshin Foroutan; Mitra Chitsazan; Mandana Chitsazan; Hamidreza Pouraliakbar

doi:10.5812/cardiovascmed.27424v2

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CASE REPORT

Year : 2015 | Volume : 4 | Issue : 3 | Page : 2

Anesthetic management in a patient with type A aortic dissection and superior vena cava syndrome

Ziae Totonchi¹, Nader Givtaj², Mozhgan Sakhaei¹, Afshin Foroutan¹, Mitra Chitsazan³, Mandana Chitsazan⁴, Hamidreza Pouraliakbar⁵
¹ Department of Cardiac Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
² Department of Cardiac Surgery, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
³ Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
⁴ Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
⁵ Department of Radiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Correspondence Address:
Mitra Chitsazan
Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran
IR Iran

Source of Support: None, Conflict of Interest: None

DOI: 10.5812/cardiovascmed.27424v2

Introduction: Induction of general anesthesia in patients with superior vena cava (SVC) syndrome may cause airway obstruction and cardiovascular collapse. Case Presentation: Herein, we introduced a patient with the diagnosis of dissecting aneurysm of the ascending aorta who was candidate for emergency surgery. He also had symptoms of SVC syndrome. To maintain airway patency during anesthetic management, we decided to perform femoro-femoral cardiopulmonary bypass followed by general anesthesia and tracheal intubation. Conclusions: Femoro-femoral bypass prior to initiation of sternotomy is a safe and easy method in patients with aortic dissection and SVC syndrome in whom earlier endotracheal intubation may not be feasible.

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Aneurysm; Aortic; Syndrome; Chest

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