BMJ Case Reports 2018; doi:10.1136/bcr-2018-227022
  • Novel treatment (new drug/intervention; established drug/procedure in new situation)

Perioperative management of an anterior mediastinal teratoma in an infant: one more tool in the toolbox

  1. Walter M Morgan2
  1. 1Anesthesiology, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee, USA
  2. 2Surgery, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee, USA
  1. Correspondence to Dr Srijaya K Reddy, srijaya.k.reddy{at}
  • Accepted 9 October 2018
  • Published 1 November 2018


Anterior mediastinal masses present a significant challenge in the perioperative period. Standard anaesthetic induction and airway management are often not feasible due to the risk of complete respiratory and/or cardiovascular collapse. Invasive manoeuvres, such as extracorporeal membrane oxygenation, cardiac bypass, or tracheal or bronchial stenting, are sometimes not applicable due to significant anatomic aberration. We present a case of anterior mediastinal mass in a 5-month-old infant where typical management techniques in the treatment algorithm were not possible.


  • Contributors BRB was responsible for clinical care of the patient, drafting initial manuscript and obtaining radiographic images. SKR was responsible for revising and formatting, manuscript and editing images for final submission. KJVA was responsible for clinical care of patient, obtaining consent and editing manuscript. WMM was responsible for clinical care of patient and editing manuscript. All authors approved the final manuscript for submission to BMJ Case Reports.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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