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J Thorac Cardiovasc Surg 2005;129:943-944
© 2005 The American Association for Thoracic Surgery

Brief Communications

Tracheal compression caused by an innominate artery aneurysm after thoracic aortic aneurysm repair in a patient with Marfan disease

P.W. de Feiter, MD*, W.N.K.A. van Mook, MD, M.J.H.M. Jacobs, MD, PhD

Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands.

Received for publication July 27, 2004; accepted for publication August 5, 2004.

* Address for reprints: P. W. de Feiter, MD, Department of Surgery, University Hospital Maastricht, P. Debyelaan 25, PO Box 9800, 6202 AZ Maastricht, The Netherlands (E-mail: pdf@home.nl).

The first 20% of the full text of this article appears below.

Tracheal compression caused by innominate artery anomalies is rare, and because of congenital anomalies, it is more recognized in children1–3 than in adults.4,5 Innominate artery aneurysms are even more uncommon than anomalies and are mainly described in relation to atherosclerosis6 or Treponema pallidum infection.7 We report the case of a patient with Marfan disease and repeated sternotomy for aortic arch surgery in whom difficult weaning after repair of a thoracoabdominal aortic aneurysm led to the diagnosis of severe tracheal compression caused by an innominate artery aneurysm. Reoperation with exclusion of the aneurysm and transection of fibrotic tissue compromising the patency of the trachea improved tracheal stenosis and led to complete resolution of symptoms after successful extubation. To our knowledge, tracheal compression caused by an innominate artery aneurysm and fibrotic tissue after repeated sternotomy for aortic arch surgery in a patient with Marfan disease has not previously been reported.

Clinical summary

A 43-year-old man was admitted to the . . . [Full Text of this Article]




This article has been cited by other articles:


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