Multistep endobronchial-endovascular approach in recurrent acute respiratory failure caused by thoracic aneurysm Sandro Gelsomino, MD, Stefano Romagnoli,

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Presentation transcript:

Multistep endobronchial-endovascular approach in recurrent acute respiratory failure caused by thoracic aneurysm Sandro Gelsomino, MD, Stefano Romagnoli, MD, Alberto Dragotto, MD, Massimo Cassai, MD, Brenno Fiorani, MD, Carlo Sorbara, MD, Pierluigi Stefàno, MD The Journal of Thoracic and Cardiovascular Surgery Volume 129, Issue 6, Pages 1436-1438 (June 2005) DOI: 10.1016/j.jtcvs.2004.09.041 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative chest x-ray film showing the thoracic aneurysm. B, Preoperative computed tomographic scan with intravenous contrast. The examination showed a 90-mm dilation of the distal aortic arch and descending aorta with marked compression of the trachea (arrow), resulting in a pulmonary atelectasis of the lower lobe of the left lung. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1436-1438DOI: (10.1016/j.jtcvs.2004.09.041) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Endovascular stent grafts and evolution of tracheobronchial malacia at computed tomographic scanning. A, Computed tomographic scan with contrast. After stent-graft deployment, the aneurysm no longer fills with contrast. B, Computed tomographic scan without contrast. The arrow shows the carinal bifurcated stent. C, Computed tomographic scan with contrast at 148 days. The arrow shows the tracheal stent before removal. D, At 1 year, the trachea was completely patent. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1436-1438DOI: (10.1016/j.jtcvs.2004.09.041) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions