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Severe tracheal compression due to cervical aortic arch aneurysm.
Yosuke Takahashi1, Yasushi Tsutsumi, Osamu Monta
1Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan. ysk@msic.med.osaka-cu.ac.jp
Journal of Cardiac Surgery
|May 19, 2011
Summary
A rare left-sided cervical aortic arch aneurysm caused severe tracheal compression and breathing problems. Surgical repair relieved the obstruction, leading to gradual improvement in the patient's airway.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Cervical aortic arch (CAA) is a rare congenital anomaly.
- CAA can lead to aortic aneurysms compressing adjacent structures.
- Tracheal compression by CAA can cause significant respiratory compromise.
Observation:
- A 59-year-old man presented with inspiratory obstruction.
- Enhanced computed tomography revealed a large left-sided CAA aneurysm causing severe tracheal stenosis.
- The aneurysm was located between the left carotid and left subclavian arteries.
Findings:
- Surgical resection of the CAA aneurysm was performed via median sternotomy.
- Total arch replacement successfully relieved the tracheal compression.
- Postoperative recovery was uneventful, with gradual resolution of tracheal stenosis over 12 months.
Implications:
- Surgical management of CAA aneurysms causing tracheal compression is effective.
- Early diagnosis and intervention can prevent severe respiratory insufficiency.
- This case highlights the importance of considering vascular anomalies in respiratory obstruction.
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