title: Innominate pseudoaneurysm subtotally compressing the trachea as a result of blunt trauma.
abstract: Blunt traumatic innominate pseudoaneurysm is rare, and coexisting airway distress is even rarer. We describe a case of innominate pseudoaneurysm that subtotally compressed the trachea in a 45-year-old man. The patient also had bovine-type arch anatomy. He experienced exacerbated respiratory distress on anesthesia induction. A cardiopulmonary bypass (CPB) circuit was immediately established through the femoral vessels. The aortic arch was replaced with a branched graft under circulatory arrest and antegrade cerebral perfusion. The pseudoaneurysm was eliminated and airway compression was completely relieved. The patient fully recovered without major complications. The unique feature of this case is its association with airway compression, which is uncommon but potentially lethal.
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Xingrong
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR. Electronic address: miaoqipumc@hotmail.com.
authors.forename: Qi
authors.initials: Q
authors.lastname: Miao
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Jianzhou
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Chaoji
authors.initials: C
authors.lastname: Zhang
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Chao
authors.initials: C
authors.lastname: Wang
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Guotao
authors.initials: G
authors.lastname: Ma
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Cardiac Surgery, Peking Union Medical College Hospital, Beijing, China PR.
authors.forename: Lihua
authors.initials: L
authors.lastname: Cao
mesh_terms: D000402:Airway Obstruction / Q000209:etiology; D017541:Aneurysm, False / Q000150:complications / Q000209:etiology*; D016122:Brachiocephalic Trunk; D006801:Humans; D008297:Male; D008875:Middle Aged; D014132:Trachea; D014949:Wounds, Nonpenetrating / Q000150:complications*