AI Article Synopsis
- A patient with cerebral palsy experienced negative-pressure pulmonary edema due to tracheal obstruction caused by the brachiocephalic artery.
- The patient's deformed thorax placed the artery in a position that closely contacted the trachea, leading to the obstruction.
- Myotonic attacks following general anesthesia may have further shortened the distance between the sternal notch and the vertebral body, worsening the obstruction.
Article Abstract
We report a case of negative-pressure pulmonary edema occurring by tracheal obstruction caused by the brachiocephalic artery. The patient had deformed thorax with cerebral palsy, which deformed thorax placing the brachiocephalic artery high over the trachea, resulting in close and tight contact between the artery and trachea. Additional deformity of the thorax associated with myotonic attacks after general anesthesia might shorten the distance between the sternal notch and the vertebral body, resulting in the tracheal obstruction by the artery.
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