Unanticipated Difficulty in an Anticipated Difficult Airway in the Neurointervention Suite: A Case Report

Abstract

Airway management of patients with craniofacial vascular malformations poses many challenges. Establishment of a secure airway is a prerequisite for safe anesthetic management of these patients. We report a case of a 45-year-old man presenting with a facial vascular malformation involving the tongue, parapharynx, and extending into the neck, resulting in airway compromise scheduled for endovascular embolization.

Keywords

difficult airway - neurointervention - vascular malformation

• References

• 1 Joshi C, Ambi U, Prakashappa DS, Mirji P. Anaesthetic considerations in macroglossia due to haemangioma of the tongue: a case report. J Clin Diagn Res 2011; 5: 840-842
• 2 Richter GT, Braswell L. Management of venous malformations. Facial Plast Surg 2012; 28 (06) 603-610
• 3 Bajwa SS, Panda A, Bajwa SK, Singh A, Parmar SS, Singh K. Anesthetic and airway management of a child with a large upper-lip hemangioma. Saudi J Anaesth 2011; 5 (01) 82-84
• 4 Griffith CL, Herod J. Anaesthesia for massive venous malformation with DIC and strategies for minimising blood loss. Case report. Pediatr Anesthesia Crit Care J 2015; 3: 22-25
• 5 Schmitz S, Boven MV, Hamoir M. Percutaneous tracheostomy in emergency situation setting. Ann Otolaryngol Rhinol 2015; 2: 1028