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Subclavian pseudoaneurysm presenting as partially obstructed airway

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submitted on 2024-01-31, 10:01 and posted on 2024-01-31, 10:02 authored by Muhammad J. Khan, Muhammad F. Alhammad, Hazim A. Kassas, Yasser A. Hammad, Mohamed S. El-Khatib, Mohamad T. Basrak, Nabil A. Shallik

We are presenting a noteworthy instance of managing the airway of a patient who had acute tracheal stenosis of considerable magnitude caused by external compression resulting from a large right subclavian pseudoaneurysm. Tracheal compression resulting from an aneurysm is an infrequent occurrence and has been reported in the literature in a limited number of case reports. The reported cases have been attributed to thoracic aortic aneurysm, aortic notch or left subclavian aneurysm. However, the current case study is the first of its kind to describe a right subclavian artery pseudoaneurysm leading to a narrowing of the tracheal lumen by over 70%. The patient presented to our emergency department with new onset hoarseness and shortness of breath. Upon further investigations, including 3-Dimensional reconstruction computerized tomography, a right subclavian pseudoaneurysm measuring 6 × 6x6 cm was discovered, which resulted in tracheal compression with subtotal obstruction. Managing the patient's airway posed significant challenges, including the risk of failed intubation, bleeding, and inability to oxygenate the patient. The case highlights the increasing importance of 3-Dimensional reconstruction computerized tomography in accurately diagnosing tracheal narrowing and compression. Furthermore, it underscores the significance of this diagnostic tool in formulating a safe and effective airway management plan.

Other Information

Published in: Trends in Anaesthesia and Critical Care
License: http://creativecommons.org/licenses/by/4.0/
See article on publisher's website: https://dx.doi.org/10.1016/j.tacc.2023.101253

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Elsevier

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation
  • Weill Cornell Medical College in Qatar (-2015)
  • Qatar University
  • Qatar University Health - QU
  • College of Medicine - QU HEALTH

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