Abstract
Children with congenital anomaly have a higher incidence of a difficult airway. Routine airway assessments have their limitations due to low sensitivity for predicting airway difficulties. We report the successful airway management of a 10-year-old girl with tetralogy of Fallot who had a history of failed intubation. Virtual bronchoscopy revealed subglottic narrowing. Careful planning on the basis of virtual bronchoscopy findings leads to a successful perioperative course. We recommend that virtual bronchoscopy be used as an airway assessment tool in anticipated difficult airway.
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