Abstract
NKYLOSING A SPONDYLITIS is a disease of importance to anesthesiologists, since a subgroup of these patients has cervical spine involvement (ankylosis) impacting on airway management. Due to the high risk of cervical fracture’ and its associated high mortality in this subgroup,2-4 airway management for elective surgery generally involves awake sedated intubation.5 While elective surgery allows ample time and optimal conditions for controlled awake sedated intubation even in patients with coronary artery disease (CAD), complicated airway management for emergency cardiac surgery has not been previously described. Therefore, a case is reported in which a patient with severe cervical spine ankylosis was rushed to the operating room following coronary artery dissection during angioplasty.
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