[Anesthetic management of patients with Young's syndrome]

Young's syndrome is characterized by chronic sinopulmonary infections and obstructive azoospermia due to systemic mucociliary transport failure. We gave anesthesia to four adult male patients with Young's syndrome for microsurgical epididymovasostomy or epididymal sperm aspiration. Preoperatively, all patients had no or mild clinical manifestation of the lung disease. Intraoperatively, however, three of four patients had voluminous tracheal discharge and two of them showed low arterial oxygen tension. Postoperatively, massive sputa secretion continued. In anesthesia for the patients with Young's syndrome, although they show no or little respiratory symptoms before anesthesia, attention should be paid to lung complication during and after anesthesia.