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Abstract

We present a case of a 22-year-old female patient with a history of chronic kidney disease (CKD) and secondary hyperparathyroidism, complicated by pathological fractures of both femurs and subsequent joint replacements. The patient exhibited craniofacial deformities with lytic lesions in the maxilla and mandible, airway abnormalities and cardiovascular adaptations due to hypertensive heart disease. A subtotal parathyroidectomy was performed, a combination of medications and nerve blocks was used for anesthesia induction and intubation, with subsequent bronchospasm and desaturation necessitating intervention. The surgical procedure was successful, with no further intraoperative issues.