A pediatric patient with a mediastinal mass and pulmonary embolus

Laura L. Burgoyne, Doralina L. Anghelescu, Robert Tamburro, Alberto J. De Armendi

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3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)487-491
Number of pages5
JournalPaediatric Anaesthesia
Volume16
Issue number4
DOIs
Publication statusPublished - Apr 1 2006

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All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Burgoyne, L. L., Anghelescu, D. L., Tamburro, R., & De Armendi, A. J. (2006). A pediatric patient with a mediastinal mass and pulmonary embolus. Paediatric Anaesthesia, 16(4), 487-491. https://doi.org/10.1111/j.1460-9592.2005.01765.x