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Post extubation negative pressure pulmonary edema due to posterior mediastinal cyst in an infant

Prakash Kumar Dubey
Annals of Cardiac Anaesthesia 2014, 17 (2): 161-3
A 3-month-old male child underwent uneventful inguinal herniotomy under general anesthesia. After extubation, airway obstruction followed by pulmonary edema appeared for which the baby was reintubated and ventilated. The baby made a complete recovery and extubated after about 2 h. A post-operative computed tomography scan revealed a posterior mediastinal cystic mass abutting the tracheal bifurcation. Presumably, extrinsic compression by the mass on the tracheal bifurcation led to the development of negative pressure pulmonary edema.


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