Penn State Milton S. Hershey Medical Center, Heart and Vascular Institute, Hershey, Pennsylvania 17033, USA.
Ann Thorac Surg. 2012 Jul;94(1):273-4. doi: 10.1016/j.athoracsur.2011.12.026.
Thoracic aortic aneurysms are life threatening because of the risk of rupture. Moreover, aneurysm enlargement can lead to additional complications, including bronchial and esophageal obstruction. We report an 80-year-old man with a 7-cm diameter thoracic aortic aneurysm resulting in near-complete left main bronchial obstruction and significant dysphagia. He had a number of intensive care unit admissions for respiratory failure and had lost more than 10 kilograms. Under spinal anesthesia, he underwent endovascular thoracic aortic aneurysm repair. Postoperatively, he had left main bronchial total obstruction treated with a bronchial stent. He then recovered uneventfully and was discharged to home.
胸主动脉瘤有破裂风险，危及生命。此外，动脉瘤增大可导致其他并发症，包括支气管和食管阻塞。我们报告了一位 80 岁男性，其胸主动脉瘤直径为 7 厘米，导致左主支气管几乎完全阻塞和明显吞咽困难。他因呼吸衰竭多次入住重症监护病房，并已减重超过 10 公斤。在脊髓麻醉下，他接受了胸主动脉瘤腔内修复术。术后，他出现左主支气管完全阻塞，使用支气管支架进行治疗。随后他顺利恢复，出院回家。
