{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:26:47Z","timestamp":1787772407692,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>ABSTRACT<\/jats:title>\n                    <jats:p>Patients with Marfan syndrome present anatomic variations that may increase the risk of a difficult airway. Moreover, they can present large aortic aneurysms, which may cause extrinsic airway compression. Therefore, difficult ventilation during general anesthesia poses a challenge in that the anesthesiologist has to promptly make a crucial differential diagnosis. Multidisciplinary preoperative assessment and planning of the airway and ventilation management are of utmost importance in such uncommon and highly complex clinical cases. Fiberoptic bronchoscopy is probably a really useful tool in order to assess the severity and extent of the airway compression, both preoperatively and intraoperatively. We present a clinical case where difficult ventilation occurred immediately after the induction of general anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_309_20","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T05:52:05Z","timestamp":1716875525000},"page":"86-89","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Difficult Ventilation in a Patient with a Giant Aortic Aneurysm"],"prefix":"10.4103","volume":"26","author":[{"given":"Mar","family":"Montane-Muntane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Ascaso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Rivera-Vallejo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricard","family":"Navarro-Ripoll","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20240901","doi-asserted-by":"crossref","first-page":"599","DOI":"10.21037\/acs.2017.10.02","article-title":"Non-cardiac manifestations of Marfan syndrome","volume":"6","author":"Child","year":"2017","journal-title":"Ann Cardiothorac Surg"},{"key":"R2-15-20240901","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1016\/S0140-6736(05)67789-6","article-title":"Marfan's syndrome","volume":"366","author":"Judge","year":"2005","journal-title":"Lancet"},{"key":"R3-15-20240901","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1007\/s12630-011-9539-x","article-title":"Anesthetic management of patients with an anterior mediastinal mass: Continuing professional development","volume":"58","author":"Blank","year":"2011","journal-title":"Can J Anaesth"},{"key":"R4-15-20240901","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1093\/bja\/aev371","article-title":"Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults","volume":"115","author":"Frerk","year":"2015","journal-title":"Br J Anaesth"},{"key":"R5-15-20240901","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1097\/EJA.0b013e328324b7f8","article-title":"Perioperative anaesthetic management of mediastinal mass in adults","volume":"26","author":"Erd\u00f6s","year":"2009","journal-title":"Eur J Anaesthesiol"},{"key":"R6-15-20240901","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s12630-018-1099-x","article-title":"The use of extracorporeal membrane oxygenation in the anticipated difficult airway: A case report and systematic review","volume":"65","author":"Malpas","year":"2018","journal-title":"Can J Anaesth"},{"key":"R7-15-20240901","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jpedsurg.2013.09.036","article-title":"Surgical approaches to aortopexy for severe tracheomalacia","volume":"49","author":"Jennings","year":"2014","journal-title":"J Pediatr Surg"},{"key":"R8-15-20240901","doi-asserted-by":"crossref","first-page":"568","DOI":"10.4103\/0971-9784.185568","article-title":"Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm","volume":"19","author":"Kumar","year":"2016","journal-title":"Ann Card Anaesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_309_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:44:59Z","timestamp":1787769899000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_309_20"}},"subtitle":["A Challenge for the Anesthesiologist"],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_309_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}