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Title of Journal: Gen Thorac Cardiovasc Surg

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Abbravation: General Thoracic and Cardiovascular Surgery

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Springer Japan

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DOI

10.1016/0091-6749(88)90818-4

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ISSN

1863-6713

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Airway compression by the ascending aorta due to a

Authors: Yasuji Terada Ei Nakayama Yasuto Sakaguchi Tomoya Kono Hideki Noda
Publish Date: 2009/02/12
Volume: 57, Issue: 2, Pages: 108-110
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Abstract

An 89yearold woman with dyspnea and disturbed consciousness due to hypoventilation was admitted to our hospital Chest radiography showed no abnormal shadow but she was intubated for deteriorated hypoventilation Bronchoscopy demonstrated obstruction of the left main bronchus at the carina Computed tomography CT showed neither a mass lesion in the mediastinum nor an aortic aneurysm but compression of the airway by the ascending aorta was observed It was thought that the patient’s thin thoracic cage was unable to support the weight of the ascending aorta which consequently compressed the left main bronchus After inserting stents into both main bronchi the patient’s consciousness improved and respirator support was withdrawn In aged bedridden thin patients with hypopnea or recurrent airway infection CT and bronchoscopy should be performed to investigate airway patency

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