ニシムラ ヨウスケ   Nishimura Yosuke
  西村 陽介
   所属   医学部医学科  臨床医学系 心臓血管外科学
   職種   教授
論文種別 不明
言語種別
査読の有無 査読なし
表題 Successful surgical treatment with tracheal resection for a symptomatic vascular ring in an adult.
掲載誌名 正式名:General thoracic and cardiovascular surgery
略  称:Gen Thorac Cardiovasc Surg
ISSNコード:18636713/18636705
巻・号・頁 67(3),336-339頁
著者・共著者 Imanishi Naoko, Takenaka Masaru, Nabe Yusuke, Nishimura Yosuke, Tanaka Fumihiro
発行年月 2019/03
概要 Vascular rings are congenital anomalies of the aortic arch, which may cause compression of the trachea and esophagus. Compression symptoms usually present in infants and children. Adult presentations are quite rare, and compression symptoms may not be relieved by surgical correction due to tracheal remodeling and malacia caused by a long-standing compression. Here, we present an adult case of symptomatic vascular ring formed by the right aortic arch and persistent left ligamentum arteriosus. Respiratory symptoms were predominantly due to severe tracheal stenosis caused by tracheal wall thickening through remodeling during long-standing compression, and were relieved by surgery with transection of the persistent followed by resection and reconstruction of the trachea.
DOI 10.1007/s11748-018-0962-6
PMID 29934726