A Case of Thoracic Aortic Aneurysm Associated with Dysphagia, Hoarseness and Asthma-like Attack

Hiroki Matsunaga	Hideki Mishima	Susumu Ishikawa
Akira Oshima	Kyu Rokkaku

（Department of Thoracic Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital＊, Tokyo, Japan and ＊＊Dr. Rokkaku passed away on February, 2016.）

A 69-year-old woman had dysphagia, hoarseness, and asthma-like symptoms such as cough and wheeze. Inhaled corticosteroids and long-acting β2 stimulants was not effective. Gastrointestinal endoscopy showed compression of the esophagus wall from outside. Enhanced computed tomography（CT）showed thoracic descending aortic aneurysm compressing esophagus and left lower lobe bronchus. Immediately thoracic endovascular aortic repair（TEVAR）was performed. After surgery, significant improvement of hoarseness and asthma-like attack was obtained at the time of 1 month after surgery. This is the first reported case of TEVAR which improved compression symptoms of both esophagus and bronchus due to thoracic aortic aneurysm in Japan.

Jpn. J. Cardiovasc. Surg. 46:49-53（2017）

Keywords：dysphagia;asthma-like attack;thoracic aortic aneurysm;TEVAR