A Case of Distal Aortic Arch Aneurysm 45 Years after Left Thoracoplasty.
10.4326/jjcvs.29.282
- VernacularTitle:胸郭成形術後４５年目に発生した遠位弓部大動脈りゅうの１治験例
- Author:
Katsuhisa Onoguchi
;
Takashi Hachiya
;
Tatsuumi Sasaki
;
Kazuhiro Hashimoto
;
Hiromitsu Takakura
;
Motohiro Oshiumi
;
Shigeyuki Takeuchi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2000;29(4):282-285
- CountryJapan
- Language:Japanese
-
Abstract:
A 76-year-old man developed dysphagia and esophageal stenosis was diagnosed. A computed tomographic scan of the chest demonstrated a large aneurysm of the distal aortic arch. The patient had undergone left thoracoplasty 45 years previously for the treatment of lung tuberculosis, then the aortic arch with the aneurysm was displaced backward because of the narrowed upper thoracic cavity and the esophagus was sandwiched between the aortic arch and the spine. The patient was thought to be in danger of developing an aortoesophageal fistula, so an emergency operation was performed in spite of his age and general condition. He was successfully treated with graft replacement including reconstruction of three arch vessels and his severe dysphagia improved.
