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J Anaesthesiol Clin Pharmacol. 2014 Jan;30(1):97-100. doi: 10.4103/0970-9185.125715.

Esophageal polyp as a posterior mediastinal mass: Intraoperative dynamic airway obstruction requiring emergency tracheostomy.

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Department of Anaesthesia and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
Department of Anaesthesia, Max Superspeciality Hospital, Saket, New Delhi, India.


Anesthesia in the presence of a mediastinal mass is difficult and challenging as the mass can involve or compress the heart, great vessels, tracheo-bronchial tree and the surrounding structures. We describe a case of severe tracheo-bronchial obstruction requiring emergency tracheostomy during the intraoperative period after an uneventful induction of anesthesia in a patient with a large esophageal polyp presenting as a posterior mediastinal mass.


Intraoperative dynamic airway obstruction; large esophageal polyp; posterior mediastinal mass

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