Treatment Strategy for Severe Airway Stenosis Due to a Thoracic Aortic Aneurysm.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32114045.
- Also identified by DOI 10.1016/j.athoracsur.2020.01.024.
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Abstract
A 75-year-old woman who underwent total aortic arch replacement complained of dyspnea for a few days. Computed tomography revealed a thoracic aortic aneurysm causing compression of the trachea. She was referred to our hospital for surgical treatment. The tracheal stenosis was severe, with a risk of an inability to ventilate during the general anesthesia. Therefore, under respiratory support for venovenous extracorporeal membrane oxygenation (VV-ECMO), we performed decompression of the thoracic aortic aneurysm by thoracic endovascular aneurysm repair, followed by tracheal stent placement. The postoperative course was uneventful, and she was discharged without any symptoms. VV-ECMO is useful for treatment of tracheal stenosis.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Endovascular Procedures
- Extracorporeal Membrane Oxygenation
- Tracheal Stenosis