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Case Reports
. 2016 Jul-Sep;19(3):568-71.
doi: 10.4103/0971-9784.185568.

Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm

Alok Kumar  1 , Vikas Dutta  1 , Sunder Negi  1 , G D Puri  1
Affiliations
Case Reports

Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm

Alok Kumar et al. Ann Card Anaesth. 2016 Jul-Sep.

Abstract

Airway compression due to distal aortic arch and descending aortic aneurysm repair has been documented. This case of tracheal and left main stem bronchus compression due to aortic aneurysm occurred in a 42-year-old man. The airway compression poses a challenge for the anesthesiologist in airway management during aortic aneurysm repair surgery. The fiber-optic bronchoscope is very helpful in decision-making both preoperatively and postoperatively in such cases. We report a case of airway compression in a 42-year-old patient who underwent elective distal aortic arch and descending aortic aneurysm repair.

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Figures

Figure 1
Figure 1
Posteroanterior view of chest X-ray depicting aortic arch aneurysm and elevated left diaphragm
Figure 2
Figure 2
(a) Contrast-enhanced computed tomography chest showing aortic arch aneurysm compressing the tracheal lumen and left main stem bronchus. (b) Three-dimensional reconstructed view of the aneurysm
Figure 3
Figure 3
Preoperative fiber-optic bronchoscopic image showing external compression of the trachea (white arrow) (a) and left main stem bronchus (black arrow) (b) by aortic arch aneurysm
Figure 4
Figure 4
Postoperative fiber-optic bronchoscopic image showing trachea, carina, and both main bronchus with no narrowing of tracheal lumen or left main bronchus
See this image and copyright information in PMC

References

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