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Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression
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 th...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909373/ https://www.ncbi.nlm.nih.gov/pubmed/29721319 http://dx.doi.org/10.1002/rcr2.320 |
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author | Sonehara, Kei Shomura, Toshitaka Yasuo, Masanori Ushiki, Atsuhito Yamamoto, Hiroshi Hanaoka, Masayuki |
author_facet | Sonehara, Kei Shomura, Toshitaka Yasuo, Masanori Ushiki, Atsuhito Yamamoto, Hiroshi Hanaoka, Masayuki |
author_sort | Sonehara, Kei |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5909373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley & Sons, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-59093732018-05-02 Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression Sonehara, Kei Shomura, Toshitaka Yasuo, Masanori Ushiki, Atsuhito Yamamoto, Hiroshi Hanaoka, Masayuki Respirol Case Rep Case Reports 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. John Wiley & Sons, Ltd 2018-04-20 /pmc/articles/PMC5909373/ /pubmed/29721319 http://dx.doi.org/10.1002/rcr2.320 Text en © 2018 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Sonehara, Kei Shomura, Toshitaka Yasuo, Masanori Ushiki, Atsuhito Yamamoto, Hiroshi Hanaoka, Masayuki Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title | Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title_full | Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title_fullStr | Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title_full_unstemmed | Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title_short | Successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
title_sort | successful ventilator weaning following vascular bypass in patient with vascular tracheobronchial compression |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909373/ https://www.ncbi.nlm.nih.gov/pubmed/29721319 http://dx.doi.org/10.1002/rcr2.320 |
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