Scholarlink

<p>Several cases of tracheal stenosis due to thoracic aortic aneurysm have been reported. However, cases of aortic aneurysm discovered following ventilation difficulties immediately after the induction of general anesthesia are rare. The patient, a 90-year-old woman with a history of ascending aortic replacement for a thoracic aortic aneurysm, was scheduled for sternum infection debridement. During induction, adequate ventilation could not be achieved despite the use of positive pressure, even after tracheal intubation. Bronchoscopy showed tracheal compression, which was not apparent in preoperative evaluations. CT imaging on the day demonstrated that the compression was caused by a thoracic aortic aneurysm. A thoracic endovascular aneurysm repair was performed successfully, and the tracheal compression improved afterwards. Compression from outside the trachea should be considered as a potential cause of sudden ventilation difficulties. Particularly in patients with a history of aortic surgery, additional preoperative assessments should be considered.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A case of thoracic aortic aneurysm discovered following poor ventilation during induction of anesthesia

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月31日

查看全文
  • Mahiro Isogai,
  • Ko Ishikawa,
  • Ryosuke Funabiki,
  • Takashi Suto,
  • Shigeru Saito

摘要

Several cases of tracheal stenosis due to thoracic aortic aneurysm have been reported. However, cases of aortic aneurysm discovered following ventilation difficulties immediately after the induction of general anesthesia are rare. The patient, a 90-year-old woman with a history of ascending aortic replacement for a thoracic aortic aneurysm, was scheduled for sternum infection debridement. During induction, adequate ventilation could not be achieved despite the use of positive pressure, even after tracheal intubation. Bronchoscopy showed tracheal compression, which was not apparent in preoperative evaluations. CT imaging on the day demonstrated that the compression was caused by a thoracic aortic aneurysm. A thoracic endovascular aneurysm repair was performed successfully, and the tracheal compression improved afterwards. Compression from outside the trachea should be considered as a potential cause of sudden ventilation difficulties. Particularly in patients with a history of aortic surgery, additional preoperative assessments should be considered.