A Case of Distal Aortic Arch Aneurysm with Tracheal Compression. Successful Repair with Open Proximal Anastomosis.
10.4326/jjcvs.27.303
- VernacularTitle:背側より気管を圧迫した遠位弓部大動脈りゅうの１手術例
- Author:
Masataka Koshika
;
Shigetaka Kasuya
;
Kazuo Yamamoto
;
Satoshi Goto
;
Hidenori Inoue
;
Fumiaki Oguma
- Publication Type:Journal Article
- Keywords:
Open proximal anastomosis
- From:Japanese Journal of Cardiovascular Surgery
1998;27(5):303-305
- CountryJapan
- Language:Japanese
-
Abstract:
A 55-year-old man was admitted with a thoracic aortic aneurysm causing wheezing. Computed tomography and angiography revealed a large distal aortic saccular aneurysm, occupying the retrotracheal space and compressing the trachea. There has been only one report of this type of aneurysm. This patient needed emergency intubation because of severe dyspnea caused by premedication for surgery. Replacement of the distal arch was performed via left posterolateral thoracotomy. Profound hypothermia was used during open proximal anastomosis, which helped to make this procedure safe and simple. This patient recovered uneventfully.
