Department of Anesthesiology and Pain Medicine, Seoul Veterans Hospital, Seoul, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S45-8. doi: 10.4097/kjae.2010.59.S.S45. Epub 2010 Dec 31.
Tracheal compression by vascular anomalies in adults is uncommon and most related reports are of children. A 79-year-old woman without any respiratory history underwent a lumbar spine surgery under general anesthesia. She suddenly developed airway obstruction after a position change from supine to prone. A fiberoptic bronchoscopy showed the obstruction of endotracheal tube. The obstruction was relieved after we changed the depth of endotracheal tube and supported the patient's neck with a cotton roll. The surgery ended without any other event and the patient recovered safely. A computed tomography revealed the rightward tracheal deviation and tortuous innominate artery contact with trachea. The patient didn't manifest any respiratory related symptoms during postoperative period, and she was discharged without any treatment.
成人的血管异常导致的气管压迫并不常见，大多数相关报道都是儿童的病例。一位 79 岁的女性，没有任何呼吸系统病史，在全身麻醉下接受腰椎手术。她在从仰卧位改为俯卧位后突然出现气道阻塞。纤维支气管镜检查显示气管内导管阻塞。我们改变气管内导管的深度并用棉卷支撑患者的颈部后，阻塞得到缓解。手术顺利结束，患者安全恢复。计算机断层扫描显示气管向右侧移位，无名动脉扭曲并与气管接触。患者术后没有出现任何与呼吸相关的症状，没有接受任何治疗就出院了。
