Anesthetic management of a patient with a difficult airway undergoing embolization of a lingual arteriovenous malformation: a case report
Lucas de Moraes Torres, David Sanches Figueiredo Viana, Dario Yamashiro, Adelaide Moral Tarifa, Patrícia Mitsue Saruhashi Shimabukuro, Emilio Carlos Del Massa
Abstract
Arteriovenous malformations of the tongue are rare vascular anomalies that may pose significant anesthetic challenges due to the risk of bleeding and airway obstruction. We report the anesthetic management of a 17-year-old patient with a large lingual arteriovenous malformation undergoing endovascular embolization. Despite relatively favorable airway parameters, the lesion suggested a potential difficult airway. Rapid sequence induction was performed, and tracheal intubation was successfully achieved using videolaryngoscopy to minimize trauma and bleeding. Anesthesia was maintained with sevoflurane, remifentanil, and cisatracurium. The procedure and postoperative period were uneventful. This case highlights the importance of careful preoperative assessment and appropriate airway management strategies.
Keywords
References
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Submitted date:
05/10/2025
Accepted date:
03/20/2026
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