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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Main Authors: David Comer, Amit Bedi, Peter Kennedy, Kieran McManus, Werner McIlwaine
Format: Article
Language:English
Published: Oxford University Press 2010-06-01
Series:Journal of Surgical Case Reports
Subjects:
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.
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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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