Staging Surgery for The Treatment of Aortic Arch Aneurysm Combined with Aberrant Bilateral Subclavian Artery, Persistent Left Superior Vena Cava and Airway Compression: A Case Report

  • Jiayu Fu Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Chunjian Shen Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Shun Gao Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Chao Liu Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Wei Liu Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Yang Nan Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Sheng Qu Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Wenzhe Wu Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Yao Ge Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College
  • Xiaonan Lv Department of Cardio-Thoracic Surgery, Second Affiliated Hospital of Shenyang Medical College

Abstract

Background: To describe staging surgery for the treatment of a patient with aortic arch aneurysm combined with aberrant bilateral subclavian artery, persistent left superior vena cava (PLSVC), and airway compression.

Case report: A 42-year-old female was hospitalized for aortic arch aneurysm involving aberrant bilateral subclavian artery, PLSVC, and airway compression. The patient's aneurysm was successfully treated by stage I surgery, including total aortic arch replacement and stented elephant trunk procedure and stage II surgery, including tracheal stenting and tracheotomy. Aortic CTA examination showed an unobstructed lumen and a good stent position without tracheal stent migration. Regular postoperative follow-up showed no complications, such as dyspnea, cough, and sputum, or other discomfort symptoms.

Conclusions: Total aortic arch replacement, elephant trunk surgery, and second-stage tracheal stent surgery are effective and safe for the treatment of aortic arch aneurysm combined with aberrant bilateral subclavian artery, PLSVC, and airway compression.

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Published
2019-10-24
How to Cite
Fu, J., Shen, C., Gao, S., Liu, C., Liu, W., Nan, Y., Qu, S., Wu, W., Ge, Y., & Lv, X. (2019). Staging Surgery for The Treatment of Aortic Arch Aneurysm Combined with Aberrant Bilateral Subclavian Artery, Persistent Left Superior Vena Cava and Airway Compression: A Case Report. The Heart Surgery Forum, 22(6), E448-E451. https://doi.org/10.1532/hsf.2613
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Articles