A GIANT MEDIASTINAL GANGLIONEUROMA: ANESTHETIC MANAGEMENT AND POSTOPERATIVE CARE

SUMMARY Neurogenic tumors are the most common mediastinal neoplasms and they may occur at any age. Ganglioneuromas are the most common mediastinal neurogenic tumors. Patients with large mediastinal masses are recognised to be at risk for cardiorespiratory failure.The combinated nerosurgical and thoracic posterior approach presents a unique challange to the anesthesiologist.We reported a young woman with a large,symptomatic mediastinal mass (ganglioneuroma) suffering respiratory collapse. OZET DEV MEDIASTINAL GANGLIONOROMA: ANESTETIK VE POSTOPERATIF YAKLAŞIM Norojenik tumorler en sik rastlanan mediastinal neoplazmlardir ve her yasta gorulebilirler, en sik gorulenleri de ganglionoromalardir. Buyuk mediastinal kitleli hastalar kardiyorespiratuvar acidan yuksek risklidirler. Beyin ve gogus cerrahisinin beraberce uyguladiklari posterior yaklasim anestezist acisindan ozel bir durum olusturmaktadir. Solunum yetmezligi yakinmasi olan buyuk, semptomatik bir mediastinal kitlesi (ganglionoroma) olan genc bir kadin hastayi sunuyoruz.