Maniwa Y, Yamamoto H, Omori T, Yamamoto H, Kujime K
Department of Surgery, National Sanatorium Hyogo Chuo Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Dec;42(12):2292-6.
Airway obstruction due to oppression by the right aortic arch is relatively common in the newborn, but has never been reported in the adult. We reported an aged case of right main bronchial stenosis due to the oppression by the right aortic arch, performed successful bronchodilatation using the stent. A 92-year-old male complained of fever and productive cough and hospitalized with a diagnosis of pneumonia. Close examinations revealed that his right main bronchus was stenotic due to oppression by the right aortic arch. Bronchodilatation was performed successfully using a Gianuturco-type expandable metallic stent. No endoluminal stenosis was found during 12 months follow up. For the treatment of bronchial deformity by the extrabronchial oppression, implantation of the Gianturco-type expandable metallic stent is considered to be very useful method.
右主动脉弓压迫导致的气道阻塞在新生儿中相对常见,但在成人中从未有过报道。我们报告了一例因右主动脉弓压迫导致右主支气管狭窄的老年病例,并使用支架成功进行了支气管扩张。一名92岁男性因发热和咳痰就诊,诊断为肺炎入院。详细检查发现其右主支气管因右主动脉弓压迫而狭窄。使用Gianuturco型可扩张金属支架成功进行了支气管扩张。随访12个月期间未发现腔内狭窄。对于支气管外压迫导致的支气管畸形治疗,植入Gianturco型可扩张金属支架被认为是一种非常有用的方法。