TY - JOUR
T1 - Thoracic Endovascular Aneurysm Repair and Tracheal Stenting for Respiratory Failure due to a Thoracic Aortic Aneurysm
T2 - A Case Report
AU - Hakkenbrak, Nadia A. G.
AU - Truijers, Maarten
AU - Thomassen, Irene
N1 - Publisher Copyright: © The Author(s) 2022.
PY - 2022/7
Y1 - 2022/7
N2 - An 82-year-old male was referred to the emergency department for severe respiratory distress. Computed tomography angiography showed tracheal compression due to a large ruptured saccular aneurysm of the descending thoracic aorta. Emergency Thoracic Endovascular Aneurysm Repair (TEVAR) was performed. To reduce tracheal compression, an endotracheal stent was placed (silicone Dumon©). Following surgery, respiratory function improved. Two days after the surgery, the patient refused further invasive treatment, including mechanical mucus aspiration from the endotracheal stent, and palliative sedation was initiated. Conventional treatment to reduce tracheal compression by a saccular aortic aneurysm is open surgical aneurysm repair. If open repair is contraindicated because of patient age, comorbidity, or in case of severe hemodynamic instability following aneurysm rupture, TEVAR with endotracheal stent placement may serve as a bridge to definite surgery to reduce tracheal compression.
AB - An 82-year-old male was referred to the emergency department for severe respiratory distress. Computed tomography angiography showed tracheal compression due to a large ruptured saccular aneurysm of the descending thoracic aorta. Emergency Thoracic Endovascular Aneurysm Repair (TEVAR) was performed. To reduce tracheal compression, an endotracheal stent was placed (silicone Dumon©). Following surgery, respiratory function improved. Two days after the surgery, the patient refused further invasive treatment, including mechanical mucus aspiration from the endotracheal stent, and palliative sedation was initiated. Conventional treatment to reduce tracheal compression by a saccular aortic aneurysm is open surgical aneurysm repair. If open repair is contraindicated because of patient age, comorbidity, or in case of severe hemodynamic instability following aneurysm rupture, TEVAR with endotracheal stent placement may serve as a bridge to definite surgery to reduce tracheal compression.
KW - aortic aneurysm
KW - respiratory insufficiency
KW - tracheal compression
UR - http://www.scopus.com/inward/record.url?scp=85129089786&partnerID=8YFLogxK
U2 - https://doi.org/10.1177/15385744221085814
DO - https://doi.org/10.1177/15385744221085814
M3 - Article
C2 - 35363099
SN - 1538-5744
VL - 56
SP - 514
EP - 516
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 5
ER -