{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:01Z","timestamp":1787761981870,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Brachial plexus tumors are rare and pose challenges for neurosurgeons due to their anatomical complexity. Retrosternal extension of a tumor makes it more difficult for the surgeons as well as for the anesthesiologists to secure a definitive airway. A cardiopulmonary bypass would be lifesaving in the event of acute cardiorespiratory decompensation. Multidisciplinary collaboration and cooperation between the neurosurgeon, oncosurgeon, cardiothoracic surgeon, and anesthesiologist are imperative to ensure good patient outcomes. Meticulous preoperative evaluation and operative planning are essentially the key factors in anesthetic management. Here we report a successful management of a 49-year-old male patient presented with a large painless mass arising from his right supraclavicular region and compressing the roots of the brachial plexus, trachea, and esophagus and extending up to the apex of the lungs, posted for mini sternotomy and excision of the mass.<\/jats:p>","DOI":"10.4103\/aca.aca_141_22","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T17:40:17Z","timestamp":1689010817000},"page":"325-328","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Anesthetic Management of Mini Sternotomy and Excision of Mediastinal Neurogenic Tumor: Brain\u2013Heart Crosstalk"],"prefix":"10.4103","volume":"26","author":[{"given":"Arnab","family":"Paul","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uday","family":"Gandhe","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gargi","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"R1-20240901","first-page":"259","article-title":"Giant neurogenic tumors of mediastinum: Report of two cases and literature review","volume":"25","author":"Wang","year":"2013","journal-title":"Chin J Cancer Res"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"63","DOI":"10.14245\/kjs.2011.8.1.63","article-title":"A case of brachial plexus neurofibroma","volume":"8","author":"Han","year":"2011","journal-title":"Korean J Spine"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.diii.2013.06.015","article-title":"Imaging of the non-traumatic brachial plexus","volume":"94","author":"Boulanger","year":"2013","journal-title":"Diagn Interv Imaging"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/S0889-8537(05)70247-9","article-title":"Anesthesia for patients with a mediastinal mass","volume":"19","author":"Narang","year":"2001","journal-title":"Anesthesiol Clin North Am"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1111\/j.1365-2044.2007.05210.x","article-title":"Emergency cardiopulmonary bypass in a patient with a mediastinal mass","volume":"62","author":"Asai","year":"2007","journal-title":"Anaesthesia"},{"key":"R7-20240901","doi-asserted-by":"crossref","first-page":"12","DOI":"10.21129\/nerve.2020.6.1.12","article-title":"Brachial plexus neurofibroma: A case report","volume":"6","author":"Lee","year":"2020","journal-title":"Nerve"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_141_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:13:02Z","timestamp":1787760782000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_141_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_141_22","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-08-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}