Left aortic arch with right descending aorta and severe coarctation: an unusual “vascular clamp” with airway compression

2018 ◽  
Vol 28 (8) ◽  
pp. 1056-1058
Author(s):  
Ronak Sheth ◽  
Roy Varghese ◽  
Kothandam Sivakumar
Keyword(s):  
Aortic Arch ◽  
Clinical Presentation ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Left Main ◽  
Descending Aorta ◽  
Airway Compression ◽  
Rare Congenital Anomaly ◽  
Aortic Obstruction ◽  
Right Descending Aorta

AbstractLeft aortic arch with right descending aorta is a rare congenital anomaly. We describe the clinical presentation of this unusual anomaly associated with cardiorespiratory compromise from severe aortic obstruction and left main bronchus compression. The anatomical peculiarities, embryological basis, and surgical solutions are presented.

scholarly journals Left main bronchus compression by aneurysm and kinking of the descending aorta

Cor et Vasa ◽  
2021 ◽  
Vol 63 (6) ◽  
pp. 710-713
Author(s):  
Andrey Slautin ◽  
Vladimír Mikulenka ◽  
Jaroslav Hlubocký ◽  
Jaroslav Lindner
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Left Main ◽  
Descending Aorta

The completely transected left main bronchus is visualized after mediastinal dissection of pulmonary veins, aortic arch and main pulmonary artery

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 783-783
Author(s):  
Lori M. van Roozendaal ◽  
Matthijs H. van Gool ◽  
Roy T. M. Sprooten ◽  
Bart A. E. Maesen ◽  
Martijn Poeze ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Main Bronchus ◽  
Pulmonary Veins ◽  
Main Pulmonary Artery ◽  
Left Main Bronchus ◽  
Left Main ◽  
Mediastinal Dissection

Left main bronchus compression after aortic reconstruction for interruption of aortic arch

1995 ◽  
Vol 9 (11) ◽  
pp. 667-669 ◽  
Author(s):  
T SAKAI ◽  
S MIKI ◽  
Y UEDA ◽  
T TAHATA ◽  
H OGINO ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Aortic Reconstruction ◽  
Left Main

scholarly journals Mediastinoscopic Subaortic and Tracheobronchial Lymph Node Dissection With a New Cervico-Hiatal Crossover Approach in Thiel-Embalmed Cadavers

2015 ◽  
Vol 100 (4) ◽  
pp. 580-588 ◽  
Author(s):  
Yutaka Tokairin ◽  
Kagami Nagai ◽  
Hisashi Fujiwara ◽  
Taichi Ogo ◽  
Masafumi Okuda ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Aortic Arch ◽  
Radical Surgery ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Recurrent Nerve ◽  
Mediastinal Lymph Nodes ◽  
Left Main ◽  
Transhiatal Approach ◽  
Human Cadavers

The use of mediastinal surgery for minimally invasive esophagectomy (MIE) has been proposed; however, this method is not performed as radical surgery because it has been thought to be impossible to perform complete upper mediastinal dissection, including the left tracheobronchial lymph nodes (106tbL). We herein describe a new method for performing complete dissection of the upper mediastinum. We developed a method for performing complete mediastinoscopic esophagectomy as radical surgery via the bilateral transcervical and transhiatal approach in 6 Thiel-embalmed human cadavers. The lower and middle mediastinal lymph nodes are dissected via the transhiatal approach. The dorsal side of the left recurrent nerve is dissected up to the aortic arch and left recurrent nerve lymph nodes (106recL) are dissected under pneumomediastinum. Next, the right recurrent nerve lymph nodes (106recR) are dissected. The cartilage of the left main bronchus is dissected and pushed downward, thereby obtaining a good view between the aortic arch and left main bronchus via the transhiatal approach. The 106tbL lymph nodes are dissected until the aortic arch is reached. Simultaneously, the lymph nodes are dissected via a right cervical incision. This method is termed the “cross-over technique.” We herein demonstrated that the upper mediastinal lymph nodes, including the 106tbL nodes, can be dissected using the bilateral transcervical and transhiatal approach under pneumomediastinum and named this method “mediastinoscopic esophagectomy with lymph node dissection” (MELD). MELD is therefore considered to be a useful modality based on our experience with Thiel-embalmed human cadavers.

Aortopexy – an effective strategy for relief of left main bronchus compression

2020 ◽  
Vol 30 (8) ◽  
pp. 1191-1193
Author(s):  
Saileela Rajan ◽  
Sivasambo Kalpana ◽  
Robert Coelho
Keyword(s):  
Rare Case ◽  
Main Bronchus ◽  
Pulmonary Arteries ◽  
Left Main Bronchus ◽  
Effective Strategy ◽  
Descending Thoracic Aorta ◽  
Left Main ◽  
Airway Compression ◽  
Right Pulmonary Artery ◽  
The Right

AbstractCongenital anomalies of aortic arch and pulmonary arteries can cause airway compression in children. We present a rare case of left main bronchus compression between the right pulmonary artery and descending thoracic aorta, which was successfully treated by aortopexy.

scholarly journals Case of a missed airway stent migration

2018 ◽  
Vol 11 (1) ◽  
pp. e226533
Author(s):  
Torben Smidt-Hansen ◽  
Torben Riis Rasmussen
Keyword(s):  
Case Report ◽  
Main Bronchus ◽  
Rare Complication ◽  
Stent Migration ◽  
Left Main Bronchus ◽  
Left Main ◽  
Airway Compression ◽  
Airway Stent ◽  
The Right ◽  
Retrospective Investigation

This case report describes a rare complication to stent management of airway compression. An 84- year-old man was admitted to the outpatient clinic with haemoptysis, cough and dyspnoea. A CT scan showed an intraluminal, non-occluding tumour close to the right side of the main carina. A stent was inserted in the right main bronchus. The patient was, 7 months later, admitted to the emergency room with severe cough and dyspnoea. The stent was produced during a coughing spell. Retrospective investigation of available imaging revealed that the stent had been dislodged to a nearly ’perfect’ position in the left main bronchus several months earlier which, however, had not been noticed and thus not reported by the radiologist describing the CT. The possibility of a right-left confusion should always be kept in mind, especially if a patient presents with renewed symptoms that should have been managed successfully.

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main
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