TY - JOUR
T1 - A pediatric patient with a mediastinal mass and pulmonary embolus
AU - Burgoyne, Laura L.
AU - Anghelescu, Doralina L.
AU - Tamburro, Robert F.
AU - De Armendi, Alberto J.
PY - 2006/4
Y1 - 2006/4
N2 - When anesthetizing a patient with an anterior mediastinal mass, sudden hypoxaemia and cardiovascular collapse may result from compression of a large airway or vascular structure in the mediastinum. We report the case of a pediatric cancer patient with an anterior mediastinal mass, who developed sudden and fatal hypoxaemia and cardiovascular collapse in the hours following sedation. A massive pulmonary thromboembolism was diagnosed at autopsy. We suggest that pulmonary embolism should be considered in the differential diagnosis when a patient with a mediastinal mass develops perioperative hypoxaemia, cardiovascular collapse, or both.
AB - When anesthetizing a patient with an anterior mediastinal mass, sudden hypoxaemia and cardiovascular collapse may result from compression of a large airway or vascular structure in the mediastinum. We report the case of a pediatric cancer patient with an anterior mediastinal mass, who developed sudden and fatal hypoxaemia and cardiovascular collapse in the hours following sedation. A massive pulmonary thromboembolism was diagnosed at autopsy. We suggest that pulmonary embolism should be considered in the differential diagnosis when a patient with a mediastinal mass develops perioperative hypoxaemia, cardiovascular collapse, or both.
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U2 - 10.1111/j.1460-9592.2005.01765.x
DO - 10.1111/j.1460-9592.2005.01765.x
M3 - Article
C2 - 16618309
AN - SCOPUS:33645105424
SN - 1155-5645
VL - 16
SP - 487
EP - 491
JO - Paediatric Anaesthesia
JF - Paediatric Anaesthesia
IS - 4
ER -
