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Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. Conclusions CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.

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We report a case of lumbar discectomy under general anesthesia in a pregnant woman in the 13th week of gestation. To avoid miscarriage and premature labor, surgery and anesthesia in pregnant women should be undertaken carefully in the second trimester of pregnancy due to fewer maternal anatomical and physiological changes at that time. In this case, surgery was performed at the end of the first trimester, in the 13th week, because of deteriorating neurologic symptoms, as well as the possible problems associated with adoption of the prone position due to the enlarging uterus. Care should be taken when selecting general anesthetics in pregnant women. In this case, there seemed to be no obvious adverse effects of general anesthesia on the fetus. During anesthetic management for surgery in pregnant women, maintaining utero-placental perfusion and avoiding the use of teratogenic agents are essential to prevent adverse effects.