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Case Reports
. 2023 Aug 13;15(8):e43406.
doi: 10.7759/cureus.43406. eCollection 2023 Aug.

Distal Arch Aneurysm Discovered With Dysphagia

Hideki Sasaki  1 , Yukihide Numata  1 , Shinji Kamiya  1 , Yoshiaki Sone  1 , Syunta Hayakawa  1
Affiliations
Case Reports

Distal Arch Aneurysm Discovered With Dysphagia

Hideki Sasaki et al. Cureus. .

Abstract

A 64-year-old man sought medical attention from a family physician, expressing concerns about dysphagia. Recognizing the complexity of the symptoms, the family physician promptly engaged the expertise of an attending physician at a regional hospital to ensure accurate diagnosis and management. Plain computed tomography (CT) revealed a space-occupied lesion located posterior to the trachea. Although mediastinal tumor was suspected at first, contrast-enhanced CT revealed a distal arch aneurysm that compressed the esophagus. The patient underwent total arch replacement, and the postoperative course was uneventful.

Keywords: bronchial artery; contrast-enhanced computed tomography; distal arch aneurysm; dysphagia; hoarseness; recurrent laryngeal nerve paralysis; vascular compression.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Plain computed tomography (CT) scan demonstrating a space occupying a lesion located posterior to the trachea
Figure 2
Figure 2. Contrast-enhanced computed tomography (CT) revealing dilated esophagus
Figure 3
Figure 3. Preoperative contrast-enhanced computed tomography (CT) revealing a distal arch aneurysm
Figure 4
Figure 4. Preoperative contrast-enhanced computed tomography (CT) showing bronchial arteries around a distal arch aneurysm
Figure 5
Figure 5. Preoperative contrast-enhanced computed tomography (CT)
Better visualized bronchial arteries in the coronal view
Figure 6
Figure 6. Postoperative contrast-enhanced computed tomography (CT) revealing a disappeared aneurysm
See this image and copyright information in PMC

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