Fujikawa Takuya, Yamamoto Shin, Fujioka Shunichiro, Sasaguri Shiro
Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Kanagawa, Japan.
Ann Vasc Dis. 2016;9(4):342-344. doi: 10.3400/avd.cr.16-00053. Epub 2016 Nov 21.
We describe the successful surgical treatment of an impending rupture of a saccular descending thoracic aortic aneurysm and accompanying compression of the left main bronchus. A 69-year-old man presented with a history of tingling chest pain lasting for a few hours. His left lung cannot be auscultated, and he was rapid progression of dyspnea. Computed tomography (CT) showed a saccular aneurysm compressing the left main bronchus. The patient was treated with conventional open surgery. The compression was immediately released. No additional surgical intervention was needed and his postoperative course was uneventful. After 6 months of surgery, he remains well.
我们描述了一例即将破裂的囊状降主动脉瘤伴左主支气管受压的成功手术治疗。一名69岁男性患者，有持续数小时的刺痛胸痛病史。左肺听诊呼吸音消失，且出现进行性呼吸困难。计算机断层扫描（CT）显示一个囊状动脉瘤压迫左主支气管。患者接受了传统的开放手术治疗。压迫立即解除。无需额外的手术干预，术后恢复顺利。术后6个月，他情况良好。
