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After a thorough investigation and diagnostic clarification, a safe anaesthetic plan following the predictable difficult airway guidelines was established to enable surgery. Anaesthesiologists should consider rare vascular causes as potential contributors to difficult airway scenarios, thereby enhancing their expertise.<\/jats:p>","DOI":"10.1136\/bcr-2023-258153","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T12:00:51Z","timestamp":1709812851000},"page":"e258153","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Tracheal compression by brachiocephalic arterial trunk: a rare cause of failed endotracheal intubation"],"prefix":"10.1136","volume":"17","author":[{"given":"Rafaela","family":"Noversa","sequence":"first","affiliation":[{"name":"Anesthesiology, Hospital Pedro Hispano, Matosinhos, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Anesthesiology, Hospital Pedro Hispano, Matosinhos, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Pinto","sequence":"additional","affiliation":[{"name":"Anesthesiology, Hospital Pedro Hispano, Matosinhos, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"2025082803521139000_17.3.e258153.1","first-page":"54","article-title":"S\u00edndrome de Compresi\u00f3n Traqueal Por Arteria Innominada: Casos Cl\u00ednico-Radiol\u00f3gicos","volume":"21","author":"Nayar E","year":"2015","journal-title":"Rev Chil Radiol"},{"key":"2025082803521139000_17.3.e258153.2","first-page":"277","article-title":"Dificuldades Respirat\u00f3rias Causadas Por Compress\u00e3o Traqueal Por Tronco Braquiocef\u00e1lico arterial de Origem An\u00f4mala","volume":"13","author":"Paschoal","year":"2004","journal-title":"Pulm\u00e4o RJ"},{"key":"2025082803521139000_17.3.e258153.3","doi-asserted-by":"publisher","DOI":"10.1177\/028418519403500310"},{"key":"2025082803521139000_17.3.e258153.4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1177\/0310057X0102900414","article-title":"\u201cGeneral anaesthesia in a patient with Undiagnosed \u201csaber-sheath\u201d Trachea\u201d","volume":"29","author":"Garstang","year":"2001","journal-title":"Anaesth Intensive Care"},{"key":"2025082803521139000_17.3.e258153.5","doi-asserted-by":"publisher","DOI":"10.1148\/115.2.265"},{"key":"2025082803521139000_17.3.e258153.6","first-page":"83","article-title":"\u201cTraqu\u00e9ia em Bainha de sabre (\u201csaber-sheath Trachea\u201d): Correla\u00e7\u00e3o Cl\u00ednico-Tomogr\u00e1fico-Endosc\u00f3pico-Funcional\u201d","volume":"23","author":"Pereira-Silva","year":"1997","journal-title":"J Pneumol"},{"key":"2025082803521139000_17.3.e258153.7","doi-asserted-by":"crossref","DOI":"10.1097\/ALN.0000000000002268","article-title":"Saber-sheath tracheal deformity","volume":"129","author":"Kandil","year":"2018","journal-title":"Anesthesiology"},{"key":"2025082803521139000_17.3.e258153.8","doi-asserted-by":"crossref","first-page":"167","DOI":"10.4097\/kjae.2016.69.2.167","article-title":"Failed intubation of an unanticipated postintubation tracheal stenosis: a case report","volume":"69","author":"Youn","year":"2016","journal-title":"Korean J Anesthesiol"},{"key":"2025082803521139000_17.3.e258153.9","doi-asserted-by":"crossref","first-page":"254","DOI":"10.4097\/kjae.2013.65.3.254","article-title":"Use of the I-gelTM supraglottic airway device in a patient with subglottic stenosis: a case report","volume":"65","author":"Lee","year":"2013","journal-title":"Korean J Anesthesiol"},{"key":"2025082803521139000_17.3.e258153.10","doi-asserted-by":"publisher","DOI":"10.1016\/0300-9572(95)00860-V"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:52:20Z","timestamp":1756378340000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3,7]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/bcr-2023-258153"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258153","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}