Wheezing and dyspnoea caused by aberrant left innominate artery

Masamichi Hayashi, Kazuyoshi Imaizumi, Hidekazu Hattori, Hiroshi Toyama, Mitsushi Okazawa

Research output: Contribution to journalArticle

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.

Original languageEnglish
Article numbere00273
JournalRespirology Case Reports
Volume5
Issue number6
DOIs
Publication statusPublished - 01-11-2017

Fingerprint

Brachiocephalic Trunk
Respiratory Sounds
Thoracic Aorta
Dyspnea
Asthma
Esophagus
Auscultation
Barium
Deglutition
Trachea
Thorax

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine

Cite this

Hayashi, Masamichi ; Imaizumi, Kazuyoshi ; Hattori, Hidekazu ; Toyama, Hiroshi ; Okazawa, Mitsushi. / Wheezing and dyspnoea caused by aberrant left innominate artery. In: Respirology Case Reports. 2017 ; Vol. 5, No. 6.
@article{47be15fc9d9e4fac94b104ceeab1eb50,
title = "Wheezing and dyspnoea caused by aberrant left innominate artery",
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.",
author = "Masamichi Hayashi and Kazuyoshi Imaizumi and Hidekazu Hattori and Hiroshi Toyama and Mitsushi Okazawa",
year = "2017",
month = "11",
day = "1",
doi = "10.1002/rcr2.273",
language = "English",
volume = "5",
journal = "Respirology Case Reports",
issn = "2051-3380",
publisher = "Wiley-Blackwell",
number = "6",

}

Wheezing and dyspnoea caused by aberrant left innominate artery. / Hayashi, Masamichi; Imaizumi, Kazuyoshi; Hattori, Hidekazu; Toyama, Hiroshi; Okazawa, Mitsushi.

In: Respirology Case Reports, Vol. 5, No. 6, e00273, 01.11.2017.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Wheezing and dyspnoea caused by aberrant left innominate artery

AU - Hayashi, Masamichi

AU - Imaizumi, Kazuyoshi

AU - Hattori, Hidekazu

AU - Toyama, Hiroshi

AU - Okazawa, Mitsushi

PY - 2017/11/1

Y1 - 2017/11/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85031727462&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031727462&partnerID=8YFLogxK

U2 - 10.1002/rcr2.273

DO - 10.1002/rcr2.273

M3 - Article

VL - 5

JO - Respirology Case Reports

JF - Respirology Case Reports

SN - 2051-3380

IS - 6

M1 - e00273

ER -