Aims and objectives: To highlight the need to formulate a difficult airway pathway for post-cancer treated patients posted for high-risk cardiac surgery. Airway protection is mandatory for surgery. Cancer patients, especially oral, are difficult airway candidates as are cardiac patients. Cancer patients pose anatomical challenges, while cardiac patients pose physiological and/or anatomical challenges. However, when a cancer-treated patient comes for cardiac surgery with compromised cardiac status, the risk and complication probability increases. With cardiac disease and cancer being interrelated and incidence rising with newer treatment modalities, cases are varied requiring impromptu innovation. We present a case of post-surgery, chemo, and radiotherapy oral cancer posted for coronary artery bypass graft (CABG) with left main disease and low ejection fraction.
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