Abdul Azih, Muhammad Naimmuddin and Ibrahim, Aishah and How, Soon Hin and Chunn, Kuan Yeh (2018) A case report of airway stenting in tracheal compression secondary to right subclavian artery pseudo-aneurysm. International Medical Journal Malaysia, 17 (1). pp. 141-144. ISSN 1823-4631
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Abstract
We report a 55-year old lady with the presentation of stridor and type II respiratory failure requiring tracheal intubation. She had right Horner’s syndrome associated with pleural effusion. Her chest radiograph revealed right upper zone lobulated opacities and therefore right Pancoast tumor was the initial diagnosis. However, her CECT thorax revealed a huge right subclavian artery pseudoaneurysm with severe tracheal compression. This rare condition imposed a significant diagnostic as well as therapeutic challenge. Vascular surgery is the definitive treatment but it is associated with high risks. The exact role of rigid bronchoscopy for airway stenting is unknown due to limited evidence available. Indeed, this form of central airway obstruction may benefit from temporary tracheal stenting whilst the surgical repair of the lesion is planned. It may facilitate early weaning and allows less complicated airway control.
Item Type: | Article (Journal) |
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Additional Information: | 6239/69786 |
Uncontrolled Keywords: | Tracheal compression; Subclavian artery pseudoaneurysm; Rigid bronchoscopy; Airway stenting |
Subjects: | R Medicine > RC Internal medicine |
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): | Kulliyyah of Medicine Kulliyyah of Medicine > Department of Internal Medicine |
Depositing User: | DR MUHAMMAD NAIMMUDDIN ABDUL AZIH |
Date Deposited: | 17 Jan 2019 09:28 |
Last Modified: | 08 Dec 2022 12:36 |
URI: | http://irep.iium.edu.my/id/eprint/69786 |
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