Resection of tracheal tumour under cardiopulmonary bypass: a case report
MyJA 4-1 PDF 89 CR

Categories

How to Cite

Elias, A. F., Ng, H. N., Razali, F. N., & Zainal Abidin, M. F. (2025). Resection of tracheal tumour under cardiopulmonary bypass: a case report. Malaysian Journal of Anaesthesiology, 4(1), 64–72. https://doi.org/10.35119/myja.v4i1.89

Copyright notice

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Copyright (c) 2025 Ahmad Fariz Elias, Huey Nee Ng, Farah Nadia Razali, Mohd Fitry Zainal Abidin

Keywords

airway management; cardiopulmonary bypass; oncocytoma; tracheal tumour

Abstract

Primary tracheal tumours can cause critical airway obstruction, challenging standard anaesthetic management. We report the case of a 66-year-old male with a large subglottic tracheal tumour causing severe airway compromise. Due to a high intubation risk, endoscopic transoral laser resection was performed using femoro-femoral cardiopulmonary bypass (CPB) for oxygenation, uniquely deferring endotracheal intubation until after tumour removal. Despite a brief intraoperative desaturation episode and postoperative bleeding requiring intervention, the benign oncocytoma was successfully resected, and the patient recovered well. This case demonstrates femoro-femoral CPB as a safe and effective alternative for airway management during resection of severely obstructing tracheal tumours.

https://doi.org/10.35119/myja.v4i1.89
MyJA 4-1 PDF 89 CR

References

Honings J, van Dijck JA, Verhagen AF, van der Heijden HF, Marres HA. Incidence and treatment of tracheal cancer: a nationwide study in the Netherlands. Ann Surg Oncol. 2007;14(2):968-76. https://doi.org/10.1245/s10434-006-9229-z

Das DD, Sen DC. Primary tracheal resection - the last resort to manage a difficult airway in a patient with tracheal stenosis – a rare case report. Journal of Anesthesia and Critical Care: Open access. 2022;14(5):157-9. https://doi.org/10.15406/jaccoa.2022.14.00529

Mohd Yusoff NA, Ishak NH. Awake cardiopulmonary bypass under neuraxial anaesthesia for elective posterior mediastinal mass excision. Malaysian Journal of Anaesthesiology. 2024;3(2):157-64. https://doi.org/10.35119/myja.v3i2.34

Chauhan A, Aggarwal SK, Dutt V, Agarwal S, Geelani MA. Cardiopulmonary Bypass for Tracheal Resection and Repair—A Safe Alternative. World Journal of Cardiovascular Surgery. 2018;08(11):197-203. https://doi.org/10.4236/wjcs.2018.811019

Misra S, Behera BK, Preetam C, et al. Peripheral Cardiopulmonary Bypass in Two Patients With Symptomatic Tracheal Masses: Perioperative Challenges. J Cardiothorac Vasc Anesth. 2021;35(5):1524-33. https://doi.org/10.1053/j.jvca.2020.11.041

Surman TL, Worthington MG, Nadal JM. Cardiopulmonary Bypass in Non-Cardiac Surgery. Heart Lung Circ. 2019;28(6):959-69. https://doi.org/10.1016/j.hlc.2018.04.284

Spaggiari L, Galetta D, Lo Iacono G, et al. Robotic-assisted tracheal resection for adenoid cystic carcinoma with extracorporeal membrane oxygenation support. JTCVS Tech. 2023;21:244-6. https://doi.org/10.1016/j.xjtc.2023.07.016

Delnoij TSR, Suverein MM, Essers BAB, et al. Cost-effectiveness of extracorporeal cardiopulmonary resuscitation vs. conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: a pre-planned, trial-based economic evaluation. Eur Heart J Acute Cardiovasc Care. 2024;13(6):484-92. https://doi.org/10.1093/ehjacc/zuae050

MyJA 4-1 PDF 89 CR