ArticleIndian journal of thoracic and cardiovascular surgery2025
Anesthetic challenges in tracheal resection and reconstruction in a patient with adenoid cystic carcinoma and retrosternal goiter.
Article in Indian journal of thoracic and cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Abstract
This case demonstrates the successful surgical and anesthetic management of a rare combination of tracheal adenoid cystic carcinoma and retrosternal goiter, highlighting the critical interplay between surgical strategy and airway management. The multidisciplinary team implemented a staged approach: initial cervical thyroidectomy with conventional ventilation was followed by right thoracotomy for tracheal resection, utilizing left main bronchus cross-field ventilation to maintain oxygenation during airway reconstruction. Key to success was the coordinated transition between surgical phases and ventilation techniques, along with frozen section confirmation of tumor-free margins prior to anastomosis. Despite postoperative pulmonary complications requiring prolonged ventilation, the patient achieved complete recovery, underscoring how integrated surgical-anesthetic planning can address the dual challenges of tracheal obstruction and mediastinal mass effect.
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