PT - JOURNAL ARTICLE AU - Bruce R Brenn AU - Srijaya K Reddy AU - Kyle J Van Arendonk AU - Walter M Morgan TI - Perioperative management of an anterior mediastinal teratoma in an infant: one more tool in the toolbox AID - 10.1136/bcr-2018-227022 DP - 2018 Nov 01 TA - BMJ Case Reports PG - bcr-2018-227022 VI - 2018 4099 - http://casereports.bmj.com/content/2018/bcr-2018-227022.short 4100 - http://casereports.bmj.com/content/2018/bcr-2018-227022.full AB - 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.