Anesthesia Management in an Acondroplasic Patient Developing Cardiac Tamponade Due to Myxedema

Abstract

dwarfism with short stature, short body and disproportionate development. This rare genetic disease, which is 0.5-1.5 in 10000 live births, is autosomal dominant inheritance and is common in women. Deficiency of endochondral bone formation and normal periostal bone formation disorder are characteristic; patients have bone deformities and systemic anomalies.1 Atlantoaxial dislocation (AAD) may concurrently exist in achondroplastic patients either de novo, following surgery (foramen magnum decompression) or due to odontoid abnormalities (os odontoideum). Anesthetic management of achondroplastic patients with coexisting AAD offers a complex proposition for anesthesiologists in view of the anatomical and physiological constraints and the possible multisystem involvement.2 In this case report, we aimed to present general anesthesia management in the context of the literature in an achondroplasic patient who was operated due to cardiac tamponade developed after pericardial effusion. CASE REPORT