A Patient with Trisomy 15 and Subglottic Tracheal Granuloma: Anesthetic Management for Emergency Rigid Bronchoscopy

Abstract

Trisomy 15 is a rare genetic disorder presenting unique anesthetic challenges. This is a case of a patient with Trisomy 15 and unrepaired ventriculo-septal defect presented for emergent removal of a subglottic tracheal granuloma. Developed anesthetic plan allowed the patient to breathe spontaneously with a combination of inhalational and intravenous anesthetics. Our technique offered optimal operating conditions and adequate depth of anesthesia. The important points of the case include an understanding of the physical characteristics of a patient with Trisomy 15 and unrepaired ventriculo-septal defect and an anesthetic plan for emergent removal of an obstructing subglottic granuloma via rigid bronchoscopy.

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S. Pisklakov, V. Cordero and V. Le, "A Patient with Trisomy 15 and Subglottic Tracheal Granuloma: Anesthetic Management for Emergency Rigid Bronchoscopy," Open Journal of Anesthesiology, Vol. 3 No. 1, 2013, pp. 1-2. doi: 10.4236/ojanes.2013.31001.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] J. Roggenbuck, et al., “Duplication of the Distal Long Arm of Chromosome 15: Report of Three New Patients and Review of the Literature,” American Journal of Medical Genetics, Vol. 126A, No. 4, 2004, pp. 398-402. doi:10.1002/ajmg.a.20617
[2] B. Bruneau, “The Developmental Genetics of Congenital Heart Disease,” Nature, Vol. 451, No. 7181, 2008, pp. 943-948. doi:10.1038/nature06801
[3] D. Penny and V. Wesley, “Ventricular Septal Defect,” Lancet, Vol. 377, No. 9771, 2011, pp. 1103-1112. doi:10.1016/S0140-6736(10)61339-6
[4] R. Sommer, et al., “Pathophysiology of Congenital Heart Disease in the Adult. Part I: Shunt Lesions,” Circulation Vol. 117, 2008, pp. 1090-1099. doi:10.1161/CIRCULATIONAHA.107.714402
[5] C. Derkay, “Recurrent Respiratory Papillomatosis,” Laryngoscope, Vol. 111, No. 1, 2001, pp. 57-69. doi10.1097/00005537-200101000-00011
[6] X. Shen and W. Li, “Anesthetic Management for an Infant Undergoing Endoscopic Resection of a Large Subglottic Papilloma,” North American Journal of Medical Sciences, Vol. 1, No. 2, 2009, pp. 83-85.
[7] D. Grinnan and J. Truwit, “Clinical Review: Respiratory Mechanics in Spontaneous and Assisted Ventilation,” Critical Care, Vol. 9, 2005, pp. 472-484. doi:10.1186/cc3516

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