[Replacement of the aortic valve and ascending aorta for annuloaortic ectasia with severe tracheobronchial compression in an elderly patient].

A 74-year-old woman with severe tracheobronchial compression caused by annuloaortic ectasia was successfully operated upon. She was admitted to our hospital because of dyspnea with syncope and chest pain. Echocardiography and a computed tomographic scan of the chest showed annuloaortic ectasia. Broncho-fiberscopy found tracheo-bronchial stenosis caused by compression of an aneurysm of the ascending aorta. AVR and supracoronary graft replacement (separate graft/valve replacement) were performed because the coronary ostia were adjacent to the aortic annulus. Postoperatively compression of the airway subsided and dyspnea disappeared.