A Case Report of Surgical Treatment of Brachiocephalic Arterial Aneurysm Associated with Rapid Tracheal Obstruction

(Department of Cardiovascular Surgery, Chikamori Hospital, Kochi, Japan)

Masahiko Ikebuchi Mitsuhito Kuriyama Hiroyuki Irie
We report a rare case of brachiocephalic arterial aneurysm associated with rapid tracheal obstruction. A 68-year-old woman visited our hospital because of progressive dyspnea. She developed acute respiratory failure and emergency intubation was performed. CT revealed a large brachiocephalic arterial aneurysm causing severe tracheal stenosis by compression. Angiography revealed a saccular aneurysm behind the brachiocephalic artery. It also demonstrated a common trunk of the brachiocephalic and the left common carotid artery. Aneurysmectomy with arterial reconstruction using an 8-mm prosthetic graft was performed while monitoring of regional cerebral oxygen saturation without extracorporeal circulation. The postoperative course was uneventful and there was no postoperative neurological deficit.
@Jpn. J. Cardiovasc. Surg. 34: 303-306 (2005)