Mediastinal tumour in a pregnant patient presenting as acute cardiorespiratory compromise
| Autor: | T. Winton, J. Dasan, J. Littleford, K. McRae, D. Farine |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Orthopnea Percutaneous Pleural effusion business.industry Obstetrics and Gynecology medicine.disease Pericardial effusion Surgery Anesthesiology and Pain Medicine Superior vena cava Cardiac tamponade medicine.artery Pulmonary artery medicine Local anesthesia medicine.symptom business |
| Zdroj: | International Journal of Obstetric Anesthesia. 11:52-56 |
| ISSN: | 0959-289X |
| DOI: | 10.1054/ijoa.2001.0915 |
| Popis: | A parturient at 35 weeks' gestation presented with severe shortness of breath, orthopnea and signs of fetal compromise. She was diagnosed with a large mediastinal tumour occupying 65% of transthoracic diameter, and a pericardial effusion. The trachea, both mainstem bronchi, pulmonary artery and superior vena cava were compressed. Her dyspnea continued despite relief of the cardiac tamponade by percutaneous drainage. Tissue obtained via anterior mediastinotomy, performed under local anesthesia infiltration, revealed a definitive diagnosis of non-Hodgkin's lymphoma. The patient improved symptomatically following initiation of steroids and chemotherapy. She was delivered by elective cesarean section under epidural anesthesia on the fifth day after starting chemotherapy. The postoperative course was complicated by the development of a large pleural effusion that required drainage. Mother and baby were well at three and six-month follow up oncology visits. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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