Successful phased approach to a patient with synchronous traumatic descending aortic pseudoaneurysm and bronchial rupture

对一名同时患有创伤性降主动脉假性动脉瘤和支气管破裂的患者采用分阶段治疗方案并取得成功

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Abstract

A 34-year-old woman was referred to our center because of collapsed left lung and left main bronchial stenosis 1 week after a vehicular accident. Bronchoscopic observation revealed stenosis in the left main and lobar bronchus. Computed tomography (CT) angiography found traumatic descending aortic pseudoaneurysm after admission. Phased intervention strategy was adopted. The aortic rupture was repaired with endovascular stent firstly, followed by sleeve reconstruction of the left main bronchus through posterolateral thoracotomy 11 days later. She recovered uneventfully and resulted in an excellent long-term outcome. The diagnosis and treatment of this case is discussed.

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