Sato Masanori, Goto Yukiko, Hirao Osamu, Ohta Noriyuki, Uchiyama Akinori, Fujino Yuji, Mashimo Takashi
Department of Anesthesiology and Intensive Care Medicine, Osaka University Graduate School of Medicine, Suita 565-0871.
Masui. 2009 Sep;58(9):1165-8.
Respiratory complication is common after a repair of thoracic aneurysm, although tracheal compression caused by hematoma and felt strips following surgery is a rare cause. We report the case of a patient who experienced difficult weaning from ventilator after a repair of a thoracic aortic aneurysm and was diagnosed as a tracheal compression outside of trachea revealed by bronchoscopy and chest CT scan. Re-operation was successfully performed to relieve the compression under monitoring by bronchoscopy. Patient was disconnected from the ventilator three weeks after the reoperation and transferred to a rehabilitation hospital.