Subclavian pseudoaneurysm presenting as partially obstructed airway

<p>We are presenting a noteworthy instance of managing the airway of a patient who had acute tracheal stenosis of considerable magnitude caused by external compression resulting from a large right subclavian pseudoaneurysm. Tracheal compression resulting from an aneurysm is an infrequent occur...

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التفاصيل البيبلوغرافية
المؤلف الرئيسي: Muhammad J. Khan (17877005) (author)
مؤلفون آخرون: Muhammad F. Alhammad (17877008) (author), Hazim A. Kassas (17877011) (author), Yasser A. Hammad (17877014) (author), Mohamed S. El-Khatib (17877017) (author), Mohamad T. Basrak (17877020) (author), Nabil A. Shallik (17877023) (author)
منشور في: 2023
الموضوعات:
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author Muhammad J. Khan (17877005)
author2 Muhammad F. Alhammad (17877008)
Hazim A. Kassas (17877011)
Yasser A. Hammad (17877014)
Mohamed S. El-Khatib (17877017)
Mohamad T. Basrak (17877020)
Nabil A. Shallik (17877023)
author2_role author
author
author
author
author
author
author_facet Muhammad J. Khan (17877005)
Muhammad F. Alhammad (17877008)
Hazim A. Kassas (17877011)
Yasser A. Hammad (17877014)
Mohamed S. El-Khatib (17877017)
Mohamad T. Basrak (17877020)
Nabil A. Shallik (17877023)
author_role author
dc.creator.none.fl_str_mv Muhammad J. Khan (17877005)
Muhammad F. Alhammad (17877008)
Hazim A. Kassas (17877011)
Yasser A. Hammad (17877014)
Mohamed S. El-Khatib (17877017)
Mohamad T. Basrak (17877020)
Nabil A. Shallik (17877023)
dc.date.none.fl_str_mv 2023-06-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.tacc.2023.101253
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Subclavian_pseudoaneurysm_presenting_as_partially_obstructed_airway/25117097
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Subclavian artery
Pseudoaneurysm
Airway obstruction
Airway management
3-Dimensional reconstruction
dc.title.none.fl_str_mv Subclavian pseudoaneurysm presenting as partially obstructed airway
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>We are presenting a noteworthy instance of managing the airway of a patient who had acute tracheal stenosis of considerable magnitude caused by external compression resulting from a large right subclavian pseudoaneurysm. Tracheal compression resulting from an aneurysm is an infrequent occurrence and has been reported in the literature in a limited number of case reports. The reported cases have been attributed to thoracic aortic aneurysm, aortic notch or left subclavian aneurysm. However, the current case study is the first of its kind to describe a right subclavian artery pseudoaneurysm leading to a narrowing of the tracheal lumen by over 70%. The patient presented to our emergency department with new onset hoarseness and shortness of breath. Upon further investigations, including 3-Dimensional reconstruction computerized tomography, a right subclavian pseudoaneurysm measuring 6 × 6x6 cm was discovered, which resulted in tracheal compression with subtotal obstruction. Managing the patient's airway posed significant challenges, including the risk of failed intubation, bleeding, and inability to oxygenate the patient. The case highlights the increasing importance of 3-Dimensional reconstruction computerized tomography in accurately diagnosing tracheal narrowing and compression. Furthermore, it underscores the significance of this diagnostic tool in formulating a safe and effective airway management plan.</p><h2>Other Information</h2> <p> Published in: Trends in Anaesthesia and Critical Care<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.tacc.2023.101253" target="_blank">https://dx.doi.org/10.1016/j.tacc.2023.101253</a></p>
eu_rights_str_mv openAccess
id Manara2_50ae9c40e06b1c696e5895389ec594fe
identifier_str_mv 10.1016/j.tacc.2023.101253
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/25117097
publishDate 2023
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spelling Subclavian pseudoaneurysm presenting as partially obstructed airwayMuhammad J. Khan (17877005)Muhammad F. Alhammad (17877008)Hazim A. Kassas (17877011)Yasser A. Hammad (17877014)Mohamed S. El-Khatib (17877017)Mohamad T. Basrak (17877020)Nabil A. Shallik (17877023)Biomedical and clinical sciencesClinical sciencesSubclavian arteryPseudoaneurysmAirway obstructionAirway management3-Dimensional reconstruction<p>We are presenting a noteworthy instance of managing the airway of a patient who had acute tracheal stenosis of considerable magnitude caused by external compression resulting from a large right subclavian pseudoaneurysm. Tracheal compression resulting from an aneurysm is an infrequent occurrence and has been reported in the literature in a limited number of case reports. The reported cases have been attributed to thoracic aortic aneurysm, aortic notch or left subclavian aneurysm. However, the current case study is the first of its kind to describe a right subclavian artery pseudoaneurysm leading to a narrowing of the tracheal lumen by over 70%. The patient presented to our emergency department with new onset hoarseness and shortness of breath. Upon further investigations, including 3-Dimensional reconstruction computerized tomography, a right subclavian pseudoaneurysm measuring 6 × 6x6 cm was discovered, which resulted in tracheal compression with subtotal obstruction. Managing the patient's airway posed significant challenges, including the risk of failed intubation, bleeding, and inability to oxygenate the patient. The case highlights the increasing importance of 3-Dimensional reconstruction computerized tomography in accurately diagnosing tracheal narrowing and compression. Furthermore, it underscores the significance of this diagnostic tool in formulating a safe and effective airway management plan.</p><h2>Other Information</h2> <p> Published in: Trends in Anaesthesia and Critical Care<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.tacc.2023.101253" target="_blank">https://dx.doi.org/10.1016/j.tacc.2023.101253</a></p>2023-06-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.tacc.2023.101253https://figshare.com/articles/journal_contribution/Subclavian_pseudoaneurysm_presenting_as_partially_obstructed_airway/25117097CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/251170972023-06-01T00:00:00Z
spellingShingle Subclavian pseudoaneurysm presenting as partially obstructed airway
Muhammad J. Khan (17877005)
Biomedical and clinical sciences
Clinical sciences
Subclavian artery
Pseudoaneurysm
Airway obstruction
Airway management
3-Dimensional reconstruction
status_str publishedVersion
title Subclavian pseudoaneurysm presenting as partially obstructed airway
title_full Subclavian pseudoaneurysm presenting as partially obstructed airway
title_fullStr Subclavian pseudoaneurysm presenting as partially obstructed airway
title_full_unstemmed Subclavian pseudoaneurysm presenting as partially obstructed airway
title_short Subclavian pseudoaneurysm presenting as partially obstructed airway
title_sort Subclavian pseudoaneurysm presenting as partially obstructed airway
topic Biomedical and clinical sciences
Clinical sciences
Subclavian artery
Pseudoaneurysm
Airway obstruction
Airway management
3-Dimensional reconstruction