Cor Vasa 2021, 63(6):710-713 | DOI: 10.33678/cor.2021.024
Left main bronchus compression by aneurysm and kinking of the descending aorta
- 2nd Department of Surgery - Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague
Představujeme kazuistiku 71leté pacientky s kompresí levého hlavního bronchu aneurysmatem descendentní aorty, která se projevila progresivní dušností, kašlem a hemoptýzou bez přítomnosti teploty. Osobní anamnéza pacientky zahrnuje opakované respirační infekce, chronický kašel, hospitalizaci pro levostrannou pneumonii. Během CT vyšetření bylo zjištěno aneurysma ascendentní aorty, dilatace a kinking descendentní aorty s útlakem levého hlavního bronchu. Zavedení stentu do bronchiálního lumen nemělo úspěch, proto byl u pacientky indikován chirurgický výkon, kdy byla provedena náhrada descendentní aorty. Útlak hlavního bronchu aneurysmatem a kinkingem aorty je velice vzácnou patologií. Jedinou možností léčby byl chirurgický zákrok. © 2021, ČKS.
Keywords: Aneurysma aorty, Kinking aorty, Komprese bronchu
Received: January 13, 2021; Revised: January 13, 2021; Accepted: February 7, 2021; Published: December 13, 2021 Show citation
References
- Kanabuchi K, Noguchi N, Kondo T. Vascular tracheobronchial compression syndrome in adults: a review. Tokai J Exp Clin Med 2011;36:106-111.
- Sebening C, Jakob H, Tochtermann U, et al. Vascular tracheobronchial compression syndromes - experience in surgical treatment and literature review. Thorac Cardiovasc Surg 2000;48:164-174.
Go to original source... 
Go to PubMed... - Wright PM, Alexander JP. Acute airway obstruction, hypertension and kyphoscoliosis. Anaesthesia 1991;46:119-121. Go to original source... Go to PubMed...
- Osinbowale OO, Bazan HA. Descending thoracic aortic aneurysm: case presentation and review. Postgrad Med 2014;126:68-75. Go to original source... Go to PubMed...
- Erbel R, Aboyans V, Boileau C, et al., 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J 2014;35:2873926. Go to original source... Go to PubMed...
- Lindsay ME, Dietz HC. The Genetic Basis of Aortic Aneurysm. Cold Spring Harb Perspect Med 2014;4:a015909. Go to original source... Go to PubMed...
- Singh SM, Safi HJ, Estrera AL. Aortobronchial syndrome: extrinsic compression of the left main bronchus secondary to a descending thoracic aortic aneurysm. Ann Thorac Surg 2011;91:1292. Go to original source... Go to PubMed...
- Kumar A, Dutta V, Negi S, Puri GD. Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm. Ann Card Anaesth 2016;19:568-571. Go to original source... Go to PubMed...
- Sova M, Čtvrtlík F, Kuca I, Kolek V. Left main bronchus compression by massive thoracic aorta aneurysm as a cause of dyspnea, Cor Vasa 2015;57:e377-e380. Go to original source...
- Abdul-Ghani A, Pisipati S, McWilliams R, Page RD. Aorto-bronchial fistula following aortic and bronchial stenting of thoracic aneurysm. Eur J Cardiothorac Surg 2006;29:419-421. Go to original source... Go to PubMed...
- Madden BP, Loke TK, Sheth AC. Do expandable metallic airway stents have a role in the management of patients with benign tracheobronchial disease? Ann Thorac Surg 2006;82:274-278. Go to original source... Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.