Staging Surgery for The Treatment of Aortic Arch Aneurysm Combined with Aberrant Bilateral Subclavian Artery, Persistent Left Superior Vena Cava and Airway Compression: A Case Report

被引：0

作者：

Fu, Jiayu ^{[1
]}

Shen, Chunjian ^{[1
]}

Gao, Shun ^{[1
]}

Liu, Chao ^{[1
]}

Liu, Wei ^{[1
]}

Nan, Yang ^{[1
]}

Qu, Sheng ^{[1
]}

Wu, Wenzhe ^{[1
]}

Ge, Yao ^{[1
]}

Lv, Xiaonan ^{[1
]}

机构：

[1] Shenyang Med Coll, Affiliated Hosp 2, Dept Cardiothorac Surg, 64 Qisban Rd, Shenyang 110035, Liaoning, Peoples R China

来源：

HEART SURGERY FORUM | 2019年 / 22卷 / 06期

关键词：

DISSECTION; REPLACEMENT; MANAGEMENT;

D O I：

10.1532/hsf.2613

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: To describe staging surgery for the treatment of a patient with aortic arch aneurysm combined with aberrant bilateral subclavian artery, persistent left superior vena cava (PLSVC), and airway compression. Case report: A 42-year-old female was hospitalized for aortic arch aneurysm involving aberrant bilateral subclavian artery, PLSVC, and airway compression. The patient's aneurysm was successfully treated by stage I surgery, including total aortic arch replacement and stented elephant trunk procedure and stage II surgery, including tracheal stenting and tracheotomy. Aortic CTA examination showed an unobstructed lumen and a good stent position without tracheal stent migration. Regular postoperative follow-up showed no complications, such as dyspnea, cough, and sputum, or other discomfort symptoms. Conclusions: Total aortic arch replacement, elephant trunk surgery, and second-stage tracheal stent surgery are effective and safe for the treatment of aortic arch aneurysm combined with aberrant bilateral subclavian artery, PLSVC, and airway compression.

引用

页码：E448 / E451

页数：4

共 13 条

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