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Case Reports
. 2016;9(4):342-344.
doi: 10.3400/avd.cr.16-00053. Epub 2016 Nov 21.

Open Surgery of a Descending Thoracic Aortic Aneurysm Impending Rupture with a Compression of Left Main Bronchus

Takuya Fujikawa  1 , Shin Yamamoto  1 , Shunichiro Fujioka  1 , Shiro Sasaguri  1
Affiliations
Case Reports

Open Surgery of a Descending Thoracic Aortic Aneurysm Impending Rupture with a Compression of Left Main Bronchus

Takuya Fujikawa et al. Ann Vasc Dis. 2016.

Abstract

We describe the successful surgical treatment of an impending rupture of a saccular descending thoracic aortic aneurysm and accompanying compression of the left main bronchus. A 69-year-old man presented with a history of tingling chest pain lasting for a few hours. His left lung cannot be auscultated, and he was rapid progression of dyspnea. Computed tomography (CT) showed a saccular aneurysm compressing the left main bronchus. The patient was treated with conventional open surgery. The compression was immediately released. No additional surgical intervention was needed and his postoperative course was uneventful. After 6 months of surgery, he remains well.

Keywords: descending thoracic aorta; impending rupture; open surgery; thoracic aortic aneurysm; thoracic aortic endovascular repair.

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Figures

Fig. 1
Fig. 1
Preoperative CT scan. (A) Axial view, (B) sagittal view, (C) coronal view, and (D) pulmonary window setting. CT: computed tomography
Fig. 2
Fig. 2
Postoperative CT scan. (A) Sagittal view and (B) pulmonary window setting. CT: computed tomography
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