title: Severe tracheal compression due to cervical aortic arch aneurysm.
abstract: We report a left-sided cervical aortic arch (CAA) aneurysm that severely compressed the trachea resulting in respiratory insufficiency. A 59-year-old man was referred to our hospital because of a few years history of inspiratory obstruction without dysphagia. Enhanced computed tomography revealed severe tracheal stenosis caused by a large CAA aneurysm. As the location of the aneurysm was located between the left carotid artery and the left subclavian artery, we planned to approach the aneurysm resection via a median sternotomy extending to the bilateral supraclavicular region. Total arch replacement was performed and the tracheal compression was relieved. The postoperative course was uneventful and the tracheal stenosis was gradually decreased by 12 months after surgery.
authors.affiliation: Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan. ysk@msic.med.osaka-cu.ac.jp
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Tsutsumi
authors.forename: Osamu
authors.initials: O
authors.lastname: Monta
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Ohashi
mesh_terms: D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000209:etiology* / Q000601:surgery