[An adult case of bronchodilation using stents for right aortic arch]

Airway obstruction due to oppression by the right aortic arch is relatively common in the newborn, but has never been reported in the adult. We reported an aged case of right main bronchial stenosis due to the oppression by the right aortic arch, performed successful bronchodilatation using the stent. A 92-year-old male complained of fever and productive cough and hospitalized with a diagnosis of pneumonia. Close examinations revealed that his right main bronchus was stenotic due to oppression by the right aortic arch. Bronchodilatation was performed successfully using a Gianuturco-type expandable metallic stent. No endoluminal stenosis was found during 12 months follow up. For the treatment of bronchial deformity by the extrabronchial oppression, implantation of the Gianturco-type expandable metallic stent is considered to be very useful method.