| A Case Report of Surgical Treatment of Brachiocephalic Arterial Aneurysm Associated with Rapid Tracheal Obstruction |
(Department of Cardiovascular Surgery, Chikamori Hospital, Kochi, Japan)
| Masahiko Ikebuchi |
Mitsuhito Kuriyama |
Hiroyuki Irie |
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We report a rare case of brachiocephalic arterial aneurysm associated with rapid tracheal obstruction. A 68-year-old woman visited our hospital because of progressive dyspnea. She developed acute respiratory failure and emergency intubation was performed. CT revealed a large brachiocephalic arterial aneurysm causing severe tracheal stenosis by compression. Angiography revealed a saccular aneurysm behind the brachiocephalic artery. It also demonstrated a common trunk of the brachiocephalic and the left common carotid artery. Aneurysmectomy with arterial reconstruction using an 8-mm prosthetic graft was performed while monitoring of regional cerebral oxygen saturation without extracorporeal circulation. The postoperative course was uneventful and there was no postoperative neurological deficit.
Jpn. J. Cardiovasc. Surg. 34: 303-306 (2005) |
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