Young Man with Cardiac Arrest Secondary to Undiagnosed Mediastinal Mass: A Case Report
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Young Man with Cardiac Arrest Secondary to Undiagnosed Mediastinal Mass: A Case Report

  • Author(s): Mallett, Ian
  • Watsjold, Bjorn
  • Chipman, Anne K.
  • et al.
Creative Commons 'BY' version 4.0 license
Abstract

Introduction: A 20-year-old man with a reported history of asthma presented to the emergency department in cardiac arrest presumed to be caused by respiratory failure.

Case Report: The patient was discovered to have central airway obstruction and concomitant superior vena cava compression caused by a large mediastinal mass—a condition termed mediastinal mass syndrome. While the patient regained spontaneous circulation after endotracheal intubation, he was challenging to ventilate requiring escalating interventions to maintain adequate ventilation.

Conclusion: We describe complications of mediastinal mass syndrome and an approach to resuscitation, including ventilator adjustments, patient repositioning, double-lumen endotracheal tubes, specialty consultation, and extracorporeal life support.

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