Lateral position prevents respiratory occlusion during surgical procedure under general anesthesia in the patient of huge anterior mediastinal lymphoblastic lymphoma

  • Yasunori Cho
  • Satoru Suzuki
  • Masakazu Yokoi
  • Muneaki Shimada
  • Saburo Kuwabara
  • Akira Murayama
Case Report

DOI: 10.1007/s11748-004-0144-6

Cite this article as:
Cho, Y., Suzuki, S., Yokoi, M. et al. Jpn J Thorac Caridovasc Surg (2004) 52: 476. doi:10.1007/s11748-004-0144-6

Abstract

Lymphoblastic lymphoma, an aggressive mediastinal mass, is recognized as serious threat to the patient in developing cardiac tamponade or airway obstruction. Surgical procedure is often required to relieve clinical emergency and to establish prompt pathological diagnosis. However, in such a patient, acute respiratory occlusion in the spine position can be a life-threatening complication during general anesthesia. We describe a 17-year-old man whose cardiac tamponade was treated by pericardial-pleural window through a left anterior thoracotomy in the lateral position. The patient recovered from hemodynamic compromise without showing respiratory occlusion during general anesthesia and remained in the lateral position until extubation. Pathological diagnosis was precursor T-lymphoblastic lymphoma. There were no complications attributable to the operative procedure. Further chemotherapy reduced the mediastinal mass in size after two weeks when the patient developed sepsis and died. Lateral position prevents respiratory occlusion during surgical procedure under general anesthesia in the patient of huge anterior mediastinal tumor with airway obstruction.

Key words

lymphoblastic lymphoma cardiac tamponade airway obstruction lateral position general anesthesia 

Copyright information

© Japanese Association for Thoracic Surgery 2004

Authors and Affiliations

  • Yasunori Cho
    • 1
  • Satoru Suzuki
    • 1
  • Masakazu Yokoi
    • 2
    • 1
  • Muneaki Shimada
    • 2
    • 1
  • Saburo Kuwabara
    • 3
    • 1
  • Akira Murayama
    • 4
    • 1
  1. 1.From Department of Cardiovascular SurgerySaitama Municipal HospitalSaitamaJapan
  2. 2.Department of AnesthesiologySaitama Municipal HospitalSaitamaJapan
  3. 3.Department of Internal MedicineSaitama Municipal HospitalSaitamaJapan
  4. 4.Department of CardiologySaitama Municipal HospitalSaitamaJapan
  5. 5.Department of Cardiovascular SurgeryHiratsuka City HospitalKanagawaJapan

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