Airway abnormalities complicate the anesthesia management of patients with congenital heart disease. The report described a case of CHARGE syndrome diagnosed in a 5-year-old girl with difficult airway, in whom anesthesia was managed successfully using a laryngeal mask airway to undergo cardiac surgery with cardiopulmonary bypass. In carefully selected cases, laryngeal mask airway may serve as a rescue airway option for CHARGE syndrome patients undergoing cardiac surgery with cardiopulmonary bypass when tracheal intubation is not achievable, provided that thorough preoperative planning and comprehensive contingency measures are in place.
Wang et al. (Mon,) studied this question.