Open AccessSuccessful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression
Author(s) -
Sonehara Kei,
Shomura Toshitaka,
Yasuo Masanori,
Ushiki Atsuhito,
Yamamoto Hiroshi,
Hanaoka Masayuki
Publication year - 2018
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.320
Subject(s) - medicine , tracheal stenosis , common carotid artery , stenosis , mechanical ventilation , pneumonia , surgery , weaning , respiratory failure , aspiration pneumonia , cardiology , anesthesia , carotid arteries
A 74‐year‐old man, who had undergone thoracoplasty for tuberculous sequelae 54 years earlier, was referred to our hospital with a chief complaint of dyspnea. He had recently received mechanical ventilation due to pneumonia. However, although the pneumonia had improved, extubation was prevented by the presence of hypercapnic respiratory failure with tracheal stenosis due to compression of the right aortic arch and the left common carotid artery. Bypass surgery was performed, during which the left subclavian artery was placed over the left common carotid artery. Surgery resulted in expansion of the cross‐sectional tracheal stenosis area from 11.60 mm 2 to 62.62 mm 2 , and the patient was successfully weaned off ventilatory support.