Acute airway obstruction following tooth extraction in hereditary angioedema

Life threatening airway obstruction occurred following a single tooth extraction in a patient who had hereditary angioedema, despite preoperative administration of FFP and danazol. Emergency intubation was performed in the operating room, and assisted respiration was required during the acute attack. The clinician should be aware that an acute attack of HAE may occur even though recommended medical management regimens are followed and should be prepared for emergency airway control.