Rigid bronchoscopy and Y-stent for severe central malignant airway obstruction as a bridge to surgery requiring general anaesthesia.
Document Type
Article
Publication Date
6-27-2025
Publication Title
BMJ case reports
Abstract
A female patient in her 30s with a history of asthma presented with a chronic cough, worsening dyspnoea, dysphagia and a painless neck lump. Ultrasound revealed enlarged cervical lymph nodes and chest X-ray showed a large anterior mediastinal mass causing central airway obstruction. CT confirmed the mass partially encasing the superior vena cava. Due to concerns of airway collapse during surgery, interventional pulmonologists placed a silicone Y stent to restore airway patency before induction of anaesthesia for surgical lymph node biopsy. The excisional biopsy confirmed classic Hodgkin's lymphoma. The patient underwent chemotherapy (ABVD regimen) and had the stent removed after 2 months. She is in remission and continues follow-up.
Volume
18
Issue
6
First Page
e265193
Recommended Citation
Alsibai T, Kemnic T, Boss B, Egan JP 3rd. Rigid bronchoscopy and Y-stent for severe central malignant airway obstruction as a bridge to surgery requiring general anaesthesia. BMJ Case Rep. 2025 Jun 27;18(6):e265193. doi: 10.1136/bcr-2025-265193. PMID: 40579195
DOI
10.1136/bcr-2025-265193
ISSN
1757-790X
PubMed ID
40579195
