Not Your Average Mediastinal Mass: A Case of a Large Mediastinal Teratoma in a Patient With a History of Polio Disease

ABSTRACT Mediastinal masses can be challenging to the surgical team and anesthetic considerations vary according location, pathology, approach, patient comorbidities. We report case of a 21 cm symptomatic intrathoracic teratoma in postpartum with history poliomyelitis. Significant challenges were presented for induction, potential extracorporeal membrane oxygenation, use neuraxial pain techniques neuromuscular blockade. This demonstrates safely manage large mediastinal mass disease.