Right-sided aortic arch presenting as refractory intraoperative and postoperative wheezing.
case_report · Level V
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Abstract
A 29-year-old woman presented with severe refractory intraoperative wheezing and airflow limitation that resolved spontaneously. Contrast-enhanced computed tomographic (CT) scan of the thorax confirmed a right-sided aortic arch. Variable intrathoracic large airway obstruction that worsened markedly when the patient was in a supine position and slightly more following intravascular volume expansion was shown on flow-volume studies. We postulate the right-sided aortic arch caused airflow obstruction that worsened intraoperatively because of position and intravenous fluids.
Medical subject headings
- Airway Obstruction
- Aorta, Thoracic
- Respiratory Sounds