Abstract
Total thyroidectomy for thyroid cancer was selected for a 68-year-old female patient. The inner diameter was 3.7 mm, suggesting marked airway stenosis. After PCPS was established, anesthesia was induced. Cannulation was impossible in the bilateral femoral veins. In the right axillary artery and right subclavian vein, PCPS was started. After anesthesia was induced, a tracheal tube measuring 5 mm in inner diameter was inserted using a bronchial fiberscope. During surgery, hypotension persisted, requiring massive blood transfusion. After the completion of surgery, marked abdominal swelling was noted, and emergency laparotomy was performed. Injury of the bilateral common iliac veins was observed. Anesthesia induction with PCPS is advantageous with respect to airway control. However, complications should always be considered.
