Thoracic aortic aneurysms exerting high extrinsic pressure on the airway

Autor: Hanna Jung, Young Woo Do, Sang Yub Lee, Youngok Lee, Tak Hyuk Oh, Gun Jik Kim
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 14, Iss 1, Pp 1-4 (2019)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-019-0992-x
Popis: Abstract Background Thoracic aortic aneurysms, although mostly asymptomatic, are life threatening owing to the risk of rupture. Moreover, the extrinsic pressure of a ruptured aneurysm may encroach the mediastinum. Case presentation A 74-year-old woman diagnosed with ruptured descending thoracic aortic aneurysm compressing the lower trachea and both main bronchi underwent thoracic endovascular aortic repair; however, the extrinsic pressure on the airway persisted. Following failing of endobronchial silicon stents insertion, extracorporeal membrane oxygenation support was required, and endobronchial metallic stents were inserted. The patients’ hypoventilation resolved, and the patient was withdrawn from the ventilator. Conclusions Technological improvement in endovascular or endobronchial procedures has provided more options for managing complex cases. However, we must be aware of how high the extrinsic pressure might be before management and take steps to minimize complications.
Databáze: Directory of Open Access Journals
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