title: [Severe tracheal compression resulting from atherosclerotic aortic arch aneurysm; report of a case].
abstract: A 70-year-old woman presented with severe respiratory insufficiency similar to an asthma attack. Computed tomography (CT) revealed an atherosclerotic aneurysm (maximum diameter 106 mm) on the aortic arch which resulted in a severe tracheal compression. We performed an aortic arch replacement. After the operation, we tried to manage breathing without a respirator twice without success. We then performed a tracheotomy on the 12th day after operation. The patient could breathe independently on the 19th day after the first operation. Peri-and postoperative respiratory management was difficult but the patient was discharged on the 86th day after operation without further complication.
authors.affiliation: Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital, Toyama, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Yusa
authors.forename: Y
authors.initials: Y
authors.lastname: Nishiya
authors.forename: A
authors.initials: A
authors.lastname: Murata
authors.forename: T
authors.initials: T
authors.lastname: Konuma
authors.forename: N
authors.initials: N
authors.lastname: Saito
authors.forename: S
authors.initials: S
authors.lastname: Hoshino
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D012131:Respiratory Insufficiency / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000150:complications* / Q000601:surgery; D014140:Tracheotomy; D014656:Vascular Surgical Procedures