Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm
A case of bronchial occlusion caused by a thoracic aortic aneurysm and the relief of this obstruction by the implantation of expandable metallic stents is described. Stent deployment provided an immediate improvement in lung ventilation and chest radiograph appearances. Stent insertion was uncomplic...
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Format: | Article |
Language: | English |
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Oxford University Press
2010-06-01
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Series: | Journal of Surgical Case Reports |
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Online Access: | http://jscr.co.uk/2010/06/cardiothoracic-surgery/successful-endobronchial-stenting-for-bronchial-compression-from-a-massive-thoracic-aortic-aneurysm/ |
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author | David Comer Amit Bedi Peter Kennedy Kieran McManus Werner McIlwaine |
author_facet | David Comer Amit Bedi Peter Kennedy Kieran McManus Werner McIlwaine |
author_sort | David Comer |
collection | DOAJ |
description | A case of bronchial occlusion caused by a thoracic aortic aneurysm and the relief of this obstruction by the implantation of expandable metallic stents is described. Stent deployment provided an immediate improvement in lung ventilation and chest radiograph appearances. Stent insertion was uncomplicated, but weaning from mechanical ventilation was unsuccessful and the patient died from a ventilator-associated pneumonia, unrelated to the procedure. Endobronchial stenting should be considered as a non-invasive therapy for the treatment of bronchial obstruction, with respiratory compromise, caused by a thoracic aortic aneurysm when vascular surgery is not an option. The medium to long term survival of this patient group is poor. This can be attributed to complications related to the stent and also to the poor performance status of these patients. |
first_indexed | 2024-12-14T02:08:46Z |
format | Article |
id | doaj.art-13974cc30b654a238b6422a1138f4c6b |
institution | Directory Open Access Journal |
issn | 2042-8812 |
language | English |
last_indexed | 2024-12-14T02:08:46Z |
publishDate | 2010-06-01 |
publisher | Oxford University Press |
record_format | Article |
series | Journal of Surgical Case Reports |
spelling | doaj.art-13974cc30b654a238b6422a1138f4c6b2022-12-21T23:20:48ZengOxford University PressJournal of Surgical Case Reports2042-88122010-06-0142Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysmDavid ComerAmit BediPeter KennedyKieran McManusWerner McIlwaineA case of bronchial occlusion caused by a thoracic aortic aneurysm and the relief of this obstruction by the implantation of expandable metallic stents is described. Stent deployment provided an immediate improvement in lung ventilation and chest radiograph appearances. Stent insertion was uncomplicated, but weaning from mechanical ventilation was unsuccessful and the patient died from a ventilator-associated pneumonia, unrelated to the procedure. Endobronchial stenting should be considered as a non-invasive therapy for the treatment of bronchial obstruction, with respiratory compromise, caused by a thoracic aortic aneurysm when vascular surgery is not an option. The medium to long term survival of this patient group is poor. This can be attributed to complications related to the stent and also to the poor performance status of these patients.http://jscr.co.uk/2010/06/cardiothoracic-surgery/successful-endobronchial-stenting-for-bronchial-compression-from-a-massive-thoracic-aortic-aneurysm/stentendobronchialthoracicaneurysmobstruction |
spellingShingle | David Comer Amit Bedi Peter Kennedy Kieran McManus Werner McIlwaine Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm Journal of Surgical Case Reports stent endobronchial thoracic aneurysm obstruction |
title | Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
title_full | Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
title_fullStr | Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
title_full_unstemmed | Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
title_short | Successful Endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
title_sort | successful endobronchial stenting for bronchial compression from a massive thoracic aortic aneurysm |
topic | stent endobronchial thoracic aneurysm obstruction |
url | http://jscr.co.uk/2010/06/cardiothoracic-surgery/successful-endobronchial-stenting-for-bronchial-compression-from-a-massive-thoracic-aortic-aneurysm/ |
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