Airway management in vascular central airway obstruction: a literature review
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Taitung MacKay Memorial Hospital, MacKay Memorial Hospital, 104 Taipei, Taiwan
2Nursing, and Management, MacKay Junior College of Medicine, 11260 Taipei, Taiwan
3Division of Cardiology, Department of Internal Medicine, Taitung Mackay Memorial Hospital, 950 Taitung, Taiwan
4Department of Radiology, Taitung MacKay Memorial Hospital, 950 Taitung, Taiwan
5Division of Infectious Diseases, Department of Medicine, Taitung MacKay Memorial Hospital, 950 Taitung, Taiwan
6Department of Life Science, Fu Jen Catholic University, 242 New Taipei City, Taiwan
Submitted: 01 June 2021 Accepted: 01 July 2021
Online publish date: 27 July 2021
† These authors contributed equally.
Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.
Aneurysm; Aortic arch; Pulmonary artery; Difficult airway; Vascular rings
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