Zhang Yong, Huang Jingsi, Xu Weibin, Yao Shiwen, Rao Jiao, Liu Qin, Sun Shanquan
Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, People's Republic of China.
Heart Center, Guangdong Maternal and Child Hospital, Guangdong, People's Republic of China.
J Card Surg. 2022 Nov;37(11):3951-3954. doi: 10.1111/jocs.16811. Epub 2022 Jul 28.
Numerous anatomic relationships of arteries could cause extrinsic compression of the trachea or bronchus. We report a rare left bronchial stenosis just caused by shorter inter-aortic distance.
One patient wih recurrent coughing and wheezing was diagnosed as left emphysema.Cardiac computed tomography (CTA) shows a shorter distance between ascending aorta (AAo) and descending aorta (DAo) caused left bronchial stenosis with extrinsic compression of right pulmonary artery.
A translocation of the descending aorta was performed in this patient, and postoperative CTA showed that the DAo was translocated to the AAo and the left main bronchial stenosis was relieved.
Translocation of the DAo was necessary for the rare left bronchial stenosis caused by shorter inter-aortic distance and could bring a good outcome.
动脉的众多解剖关系可导致气管或支气管的外在压迫。我们报告一例罕见的仅由主动脉间距较短引起的左支气管狭窄。
一名反复咳嗽和喘息的患者被诊断为左肺气肿。心脏计算机断层扫描（CTA）显示升主动脉（AAo）和降主动脉（DAo）之间的距离较短，导致左支气管狭窄并伴有右肺动脉的外在压迫。
对该患者进行了降主动脉移位术，术后CTA显示降主动脉移位至升主动脉，左主支气管狭窄得到缓解。
对于由主动脉间距较短引起的罕见左支气管狭窄，降主动脉移位术是必要的，且可带来良好的效果。
