A Case Report on Anesthesia Management of a Giant Thymoma Excision with a Lateral Thoracotomy Approach

Blood gases revealed an acute type 1 respiratory failure with a decrease in pO 2 and pCO 2 values.A computed tomography (CT) thorax was advised which showed a large well defined heterogeneously enhancing mass lesion 180 mm [craniocaudal (CC)] × 142 mm [transverse (TR)] × 152 mm [anteroposterior (AP)] in left, anterior, middle, and posterior mediastinum extending to the left thoracic cavity (Fig. 2).The lesion caused complete collapse of left lung lingula and lower lobe and partial collapse of upper lobe.Mediastinum was displaced to right side with no obvious invasion of adjacent structures.Mild pleural effusion was noted.Echo done showed normal left ventricular function with mild tricuspid regurgitation.She was planned for emergency thoracotomy operation under high risk.After discussion with the cardiac surgeon, a decision of right thoracotomy ± sternotomy was considered with an option 1,