# Anaesthesia Management for Neurosurgery in a Patient With Congenital Lung Agenesis

## TL;DR

A 40-year-old woman with a missing right lung underwent brain tumor surgery, requiring special anesthetic care due to her rare condition.

## Contribution

The paper presents a case study highlighting anesthetic challenges and solutions for neurosurgery in a patient with congenital lung agenesis.

## Key findings

- Lung protective ventilation strategies were successfully used during surgery.
- Multidisciplinary coordination was essential due to the MRI suite's remote location.
- The patient was discharged stable, demonstrating effective anesthetic management.

## Abstract

Congenital lung agenesis is a rare congenital abnormality associated with an absence or under-development of either one or both lungs, and its presentation in adulthood is even rarer.

We describe a 40-year-old female patient with a history of congenital agenesis of the right lung and a high-grade glioma in the frontal region of the brain presenting for craniotomy and excision of the tumor in an MRI suite. Lung protective strategies of ventilation were utilized intraoperatively. The remote location of the MRI suite made access to extra manpower support challenging. The patient was managed uneventfully and discharged stable to the high-dependency unit.

Our case describes how congenital lung agenesis poses a unique set of challenges for anaesthetic management, particularly in neurosurgical patients, and provides guidance to a multidisciplinary team approach.