Subclavian pseudoaneurysm presenting as partially obstructed airway

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...

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Main Author: Muhammad J., Khan (author)
Other Authors: Alhammad, Muhammad F. (author), Kassas, Hazim A. (author), Hammad, Yasser A. (author), El-Khatib, Mohamed S. (author), Basrak, Mohamad T. (author), Shallik, Nabil A. (author)
Format: article
Published: 2023
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Online Access:http://dx.doi.org/10.1016/j.tacc.2023.101253
https://www.sciencedirect.com/science/article/pii/S2210844023001181
http://hdl.handle.net/10576/56149
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author Muhammad J., Khan
author2 Alhammad, Muhammad F.
Kassas, Hazim A.
Hammad, Yasser A.
El-Khatib, Mohamed S.
Basrak, Mohamad T.
Shallik, Nabil A.
author2_role author
author
author
author
author
author
author_facet Muhammad J., Khan
Alhammad, Muhammad F.
Kassas, Hazim A.
Hammad, Yasser A.
El-Khatib, Mohamed S.
Basrak, Mohamad T.
Shallik, Nabil A.
author_role author
dc.creator.none.fl_str_mv Muhammad J., Khan
Alhammad, Muhammad F.
Kassas, Hazim A.
Hammad, Yasser A.
El-Khatib, Mohamed S.
Basrak, Mohamad T.
Shallik, Nabil A.
dc.date.none.fl_str_mv 2023-06-30
2024-06-13T10:54:14Z
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.tacc.2023.101253
2210-8440
https://www.sciencedirect.com/science/article/pii/S2210844023001181
http://hdl.handle.net/10576/56149
50
2210-8467
dc.language.none.fl_str_mv en
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv 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 Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description 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.
eu_rights_str_mv openAccess
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identifier_str_mv 2210-8440
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2210-8467
language_invalid_str_mv en
network_acronym_str qu
network_name_str Qatar University repository
oai_identifier_str oai:qspace.qu.edu.qa:10576/56149
publishDate 2023
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rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
spelling Subclavian pseudoaneurysm presenting as partially obstructed airwayMuhammad J., KhanAlhammad, Muhammad F.Kassas, Hazim A.Hammad, Yasser A.El-Khatib, Mohamed S.Basrak, Mohamad T.Shallik, Nabil A.Subclavian arteryPseudoaneurysmAirway obstructionAirway management3-Dimensional reconstructionWe 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.Open Access funding provided by the Qatar National Library.2024-06-13T10:54:14Z2023-06-30Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.tacc.2023.1012532210-8440https://www.sciencedirect.com/science/article/pii/S2210844023001181http://hdl.handle.net/10576/56149502210-8467enhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/561492024-07-23T07:49:29Z
spellingShingle Subclavian pseudoaneurysm presenting as partially obstructed airway
Muhammad J., Khan
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 Subclavian artery
Pseudoaneurysm
Airway obstruction
Airway management
3-Dimensional reconstruction
url http://dx.doi.org/10.1016/j.tacc.2023.101253
https://www.sciencedirect.com/science/article/pii/S2210844023001181
http://hdl.handle.net/10576/56149