Large osteochondroma arising from chest wall and sternum is uncommon and
presentation with airway compression is further uncommon. Here we
present a case of large chest wall osteochondroma as a part of
Hereditary multiple exostoses in a 9 years old boy presented with a
history of stridor and shortness of breath. The bony mass of the right
chest wall was extending up to a suprasternal notch and compressing the
trachea. The case was successfully managed by initial femoro-femoral
cardiopulmonary bypass under local anesthesia prior to the induction of
anesthesia to prevent respiratory collapse, followed by debulking
surgery was done.