title: [Replacement of the aortic valve and ascending aorta for annuloaortic ectasia with severe tracheobronchial compression in an elderly patient].
abstract: A 74-year-old woman with severe tracheobronchial compression caused by annuloaortic ectasia was successfully operated upon. She was admitted to our hospital because of dyspnea with syncope and chest pain. Echocardiography and a computed tomographic scan of the chest showed annuloaortic ectasia. Broncho-fiberscopy found tracheo-bronchial stenosis caused by compression of an aneurysm of the ascending aorta. AVR and supracoronary graft replacement (separate graft/valve replacement) were performed because the coronary ostia were adjacent to the aortic annulus. Postoperatively compression of the airway subsided and dyspnea disappeared.
authors.affiliation: Department of Cardiovascular Surgery, Kitami Prefectural Hospital.
authors.forename: S
authors.initials: S
authors.lastname: Kikuchi
authors.forename: T
authors.initials: T
authors.lastname: Itoh
authors.forename: M
authors.initials: M
authors.lastname: Ebuoka
authors.forename: T
authors.initials: T
authors.lastname: Kazui
authors.forename: S
authors.initials: S
authors.lastname: Komatsu
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001982:Bronchial Diseases / Q000209:etiology*; D004108:Dilatation, Pathologic / Q000150:complications / Q000601:surgery; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D014135:Tracheal Stenosis / Q000209:etiology*