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Mar Montane-Muntane1, María Ascaso2, Lorena Rivera-Vallejo1, Ricard Navarro-Ripoll1
1 Department of Anesthesiology, Hospital Clínic de Barcelona, Barcelona, Catalonia
2 Department of Cardiovascular Surgery, Hospital Clínic de Barcelona, Barcelona, Catalonia
Correspondence Address:
Mar Montane-Muntane
Department of Anesthesiology - Hospital Clinic de Barcelona, 170 Villarroel, 08036 Barcelona
Catalonia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/aca.aca_309_20
Patients with Marfan syndrome present anatomic variations that may increase the risk of a difficult airway. Moreover, they can present large aortic aneurysms, which may cause extrinsic airway compression. Therefore, difficult ventilation during general anesthesia poses a challenge in that the anesthesiologist has to promptly make a crucial differential diagnosis. Multidisciplinary preoperative assessment and planning of the airway and ventilation management are of utmost importance in such uncommon and highly complex clinical cases. Fiberoptic bronchoscopy is probably a really useful tool in order to assess the severity and extent of the airway compression, both preoperatively and intraoperatively. We present a clinical case where difficult ventilation occurred immediately after the induction of general anesthesia.
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