Takahashi Yosuke, Tsutsumi Yasushi, Monta Osamu, Ohashi Hirokazu
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.
J Card Surg. 2011 Jul;26(4):400-2. doi: 10.1111/j.1540-8191.2011.01260.x. Epub 2011 May 17.
We report a left-sided cervical aortic arch (CAA) aneurysm that severely compressed the trachea resulting in respiratory insufficiency. A 59-year-old man was referred to our hospital because of a few years history of inspiratory obstruction without dysphagia. Enhanced computed tomography revealed severe tracheal stenosis caused by a large CAA aneurysm. As the location of the aneurysm was located between the left carotid artery and the left subclavian artery, we planned to approach the aneurysm resection via a median sternotomy extending to the bilateral supraclavicular region. Total arch replacement was performed and the tracheal compression was relieved. The postoperative course was uneventful and the tracheal stenosis was gradually decreased by 12 months after surgery.
我们报告一例左侧颈主动脉弓（CAA）动脉瘤，该动脉瘤严重压迫气管，导致呼吸功能不全。一名59岁男性因数年吸气性梗阻病史（无吞咽困难）转诊至我院。增强计算机断层扫描显示，一个大的CAA动脉瘤导致严重的气管狭窄。由于动脉瘤位于左颈动脉和左锁骨下动脉之间，我们计划通过延伸至双侧锁骨上区域的正中胸骨切开术来进行动脉瘤切除术。实施了全弓置换术，气管压迫得以缓解。术后过程顺利，术后12个月气管狭窄逐渐减轻。
