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Anesthetic Induction Strategy for a Patient with a Giant Aortic Arch Aneurysm Compressing the Main Airway: A Case Report

Year: 2025

Type: article

Abstract: Isolated aortic arch aneurysms are relatively rare, accounting for 21.3% of thoracic aortic aneurysms. However, with an aging population and advancements in imaging technology, the detection rate of aortic arch aneurysms has gradually increased. Key risk factors include age, gender, hypertension, atherosclerosis, hereditary connective tissue disorders, and infections. A giant aortic arch aneurysm is not only a “ticking time bomb” within the patient but also poses significant challenges for anesthesiologists when associated with airway compression, which can lead to airway and circulatory collapse during induction. We report a case of a 52-year-old male who presented with chest pain; imaging revealed a giant aortic arch aneurysm compressing the main airway. The patient underwent total aortic arch replacement under general anesthesia, with a successful surgery. We share this case to discuss the anesthetic induction process and insights for managing aortic arch aneurysms with airway compression.

Source: Asploro Journal of Biomedical and Clinical Case Reports

DOI: 10.36502/2025/asjbccr.6419

Author: Xiao Bai

Institutions: Sichuan University, West China Hospital of Sichuan University

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4413317526