AI Article Synopsis
- - A 60-year-old male with a long history of wheezing and a misdiagnosis of severe bronchial asthma was found to have a right aortic arch causing compression of the esophagus and trachea.
- - Diagnostic tests, including a barium oesophagogram and CT scan, revealed that an enlarged left innominate artery was narrowing the airway and digestive tract, explaining the patient's symptoms.
- - After undergoing a total aortic arch replacement, the patient's wheezing and dyspnea completely resolved, highlighting the importance of correctly diagnosing underlying anatomical issues.
Article Abstract
We present a rare case of a branching anomaly of the aortic arch that resulted in wheezing and dyspnoea. The patient was a 60-year-old male with severe wheezing from babyhood, originally diagnosed with severe bronchial asthma. On auscultation, the inspiratory and expiratory wheezes appeared when the patient leaned forward. He also had difficulty in swallowing solid mass. Tests for airway reversibility and hyperresponsiveness were negative, and asthma treatment was ineffective. He had a right aortic arch. A barium oesophagogram and endoscopic examination indicated narrowing of the oesophagus from behind. Three-dimensional reconstruction of enhanced chest CT images indicated a right aortic arch and an aberrant enlarged left innominate artery, which compressed and narrowed the oesophagus and trachea from behind. Although the patient had been diagnosed with intractable bronchial asthma, his symptoms were more likely caused by this mechanical narrowing as wheezing and dyspnoea disappeared completely after total aortic arch replacement operation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628629 | PMC |
| http://dx.doi.org/10.1002/rcr2.273 | DOI Listing |
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