Large sternal exostoses presenting as stridor: A surgical and anesthetic challenge

Large osteochondroma arising from chest wall and sternum is uncommon and presentation with airway compression is further uncommon.

Here we present a case of large chest wall osteochondroma as a part of hereditary multiple exostoses in a 9-year-old boy presented with a history of stridor and shortness of breath. The bony mass of the right chest wall was extending up to a suprasternal notch and compressing the trachea.

The case was successfully managed by initial femoro-femoral cardiopulmonary bypass under local anesthesia before the induction of anesthesia to prevent respiratory collapse, followed by debulking surgery was done.