A Case Report of Surgical Treatment of Brachiocephalic Arterial Aneurysm Associated with Rapid Tracheal Obstruction
10.4326/jjcvs.34.303
- VernacularTitle:急激に窒息症状を生じた巨大腕頭動脈りゅうの１例
- Author:
Masahiko Ikebuchi
;
Mitsuhito Kuriyama
;
Hiroyuki Irie
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(4):303-306
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of brachiocephalic arterial aneurysm associated with rapid tracheal obstruction. A 68-year-old woman visited our hospital because of progressive dyspnea. She developed acute respiratory failure and emergency incubation was performed. CT revealed a large brachiocephalic arterial aneurysm causing severe tracheal stenosis by compression. Angiography revealed a saccular aneurysm behind the brachiocephalic artery. It also demonstrated a common trunk of the brachiocephalic and the left common carotid artery. Aneurysmectomy with arterial reconstruction using an 8-mm prosthetic graft was performed while monitoring of regional cerebral oxygen saturation without extracorporeal circulation. The postoperative course was uneventful and there was no postoperative neurological deficit.
