Airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture

Journal of Cardiothoracic Surgery

Naoyuki Kohno¹  Yuki Sato¹  Ayaka Tsuboi²  Yoshifumi Nishino²  Yusuke Inaba²  Akihiro Yoshimoto²  Hiroshi Tsuchiya²  Mio Noma²  Hidehito Endo²  Hiroshi Kubota² 

[1] Department of Otorhinolaryngology, Kyorin University, 6-20-2, Shinkawa, Mitaka, Tokyo 181-8611, Japan;Department of Cardiovascular Surgery, Kyorin University, 6-20-2, Shinkawa, Mitaka, Tokyo 181-8611, Japan

关键词: Mediastinal hematoma;    Open-stent graft;    Aortic arch;    Shock;    Rupture;    Aortic aneurysm;    Thoracic aorta;    Airway obstruction;    Retropharyngeal hematoma;   

Others  :  812207
DOI  :  10.1186/1749-8090-8-232

 received in 2013-07-08, accepted in 2013-12-23,  发布年份 2013

【 摘 要 】

Background

Retropharyngeal hematoma is a rare form of pharyngeal pathology and can present as acute airway obstruction. Among the many causes of retropharyngeal hematoma, thoracic aortic rupture is extremely rare.

Methods and results

A 78-year-old female with airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture was successfully treated by total aortic arch replacement and open stent-graft insertion.

Conclusion

Rupture of the thoracic aorta should be considered as a rare but important cause of retropharyngeal hematoma and airway obstruction.

【 授权许可】

   
2013 Kubota et al.; licensee BioMed Central Ltd.

【 图 表 】

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