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Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage

We report the case of a 77‐year‐old woman presenting with out‐of‐hospital cardiac arrest, which was then interpreted as an acute, life‐threatening critical airway compression by a huge mediastinal tumour without appropriate diagnosis. Emergency extracorporeal membrane oxygenation was cannulated for...

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Autores principales: Liu, Shih‐Peng, Chien, Hung‐Che, Chen, Chun‐Ku, Hsieh, Chih‐Cheng, Huang, Chien‐Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813256/
https://www.ncbi.nlm.nih.gov/pubmed/29456861
http://dx.doi.org/10.1002/rcr2.300
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author Liu, Shih‐Peng
Chien, Hung‐Che
Chen, Chun‐Ku
Hsieh, Chih‐Cheng
Huang, Chien‐Sheng
author_facet Liu, Shih‐Peng
Chien, Hung‐Che
Chen, Chun‐Ku
Hsieh, Chih‐Cheng
Huang, Chien‐Sheng
author_sort Liu, Shih‐Peng
collection PubMed
description We report the case of a 77‐year‐old woman presenting with out‐of‐hospital cardiac arrest, which was then interpreted as an acute, life‐threatening critical airway compression by a huge mediastinal tumour without appropriate diagnosis. Emergency extracorporeal membrane oxygenation was cannulated for sufficient respiratory support after spontaneous circulation was regained. After the multidisciplinary team, involving thoracic surgeons, discussed the resectability of the mediastinal tumour, the patient underwent successful resection of the mediastinal tumour through a median sternotomy. The pathological report demonstrated an intrathoracic goitre with spontaneous haemorrhage and haematoma formation, and the patient was discharged with favourable respiratory and neurological outcomes.
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spelling pubmed-58132562018-02-16 Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage Liu, Shih‐Peng Chien, Hung‐Che Chen, Chun‐Ku Hsieh, Chih‐Cheng Huang, Chien‐Sheng Respirol Case Rep Case Reports We report the case of a 77‐year‐old woman presenting with out‐of‐hospital cardiac arrest, which was then interpreted as an acute, life‐threatening critical airway compression by a huge mediastinal tumour without appropriate diagnosis. Emergency extracorporeal membrane oxygenation was cannulated for sufficient respiratory support after spontaneous circulation was regained. After the multidisciplinary team, involving thoracic surgeons, discussed the resectability of the mediastinal tumour, the patient underwent successful resection of the mediastinal tumour through a median sternotomy. The pathological report demonstrated an intrathoracic goitre with spontaneous haemorrhage and haematoma formation, and the patient was discharged with favourable respiratory and neurological outcomes. John Wiley & Sons, Ltd 2018-02-15 /pmc/articles/PMC5813256/ /pubmed/29456861 http://dx.doi.org/10.1002/rcr2.300 Text en © 2018 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Liu, Shih‐Peng
Chien, Hung‐Che
Chen, Chun‐Ku
Hsieh, Chih‐Cheng
Huang, Chien‐Sheng
Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title_full Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title_fullStr Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title_full_unstemmed Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title_short Critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
title_sort critical airway compression caused by a large mediastinal tumour with spontaneous haemorrhage
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813256/
https://www.ncbi.nlm.nih.gov/pubmed/29456861
http://dx.doi.org/10.1002/rcr2.300
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