Top

Published in:

Open Access 01-12-2013 | Case report

Airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture

Authors: Hiroshi Kubota, Hidehito Endo, Mio Noma, Hiroshi Tsuchiya, Akihiro Yoshimoto, Yusuke Inaba, Yoshifumi Nishino, Ayaka Tsuboi, Yuki Sato, Naoyuki Kohno

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

Abstract

Background

Retropharyngeal hematoma is a rare form of pharyngeal pathology and can present as acute airway obstruction. Among the many causes of retropharyngeal hematoma, thoracic aortic rupture is extremely rare.

Methods and results

A 78-year-old female with airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture was successfully treated by total aortic arch replacement and open stent-graft insertion.

Conclusion

Rupture of the thoracic aorta should be considered as a rare but important cause of retropharyngeal hematoma and airway obstruction.

Available only for authorised users

Endo H, Kubota H, Tsuchiya H, Yoshimoto A, Takahashi Y, Inaba Y, Sudo K: Clinical efficacy of intermittent pressure augmented-retrograde cerebral perfusion. J Thorac Cardiovasc Surg. 2012, Epub ahead of print

Kubota H, Takamoto S, Yoshino H, Kitahori K, Kawata M, Tonari K, Endo H, Tsuchiya H, Inaba Y, Takahashi Y, Sudo K: Clinical Application of Intermittent Pressure-Augmented Retrograde Cerebral Perfusion. Ann Thorac Surg. 2010, 90: 1340-1343. 10.1016/j.athoracsur.2010.03.024.CrossRefPubMed

Kubota H, Endo H, Sudo K: New open stent-graft delivery system: the CLATE flexible metal graft holder. Interact Cardiovasc Thorac Surg. 2006, 5: 333-335. 10.1510/icvts.2006.129882.CrossRefPubMed

Jougon J, Zénnaro O: Acute cervico-mediastinal hematoma of parathyroid origin. Ann Chir. 1994, 48: 867-869.PubMed

Rotter N, Jäger L, Wollenberg B, Lang S: Spontaneous retropharyngeal hematoma: a rare differential diagnosis of acute dysphagia. HNO. 2008, 56: 981-984. 10.1007/s00106-008-1823-x.CrossRefPubMed

Taniguchi I, Maeda T, Morimoto K, Miyasaka S, Suda T, Yamaga T: Spontaneous retropharyngeal hematoma of a parathyroid cyst: report of a case. Surg Today. 2003, 33: 354-357. 10.1007/s005950300080.CrossRefPubMed

Badran K, Mani N, Axon P: Spontaneous parapharyngeal haematoma caused by a leaking vertebral artery pseudoaneurysm. Eur Arch Otorhinolaryngol. 2008, 265: 251-254. 10.1007/s00405-007-0421-y. Epub Aug 14 2007CrossRefPubMed

Senel AC, Gunduz AK: Retropharyngeal hematoma secondary to minor blunt neck trauma: case report. Rev Bras Anestesiol. 2012, 62: 731-735. 10.1016/S0034-7094(12)70171-X.CrossRefPubMed

Akoglu E, Seyfeli E, Akoglu S: Retropharyngeal hematoma as a complication of anticoagulation therapy. Ear Nose Throat J. 2008, 87: 156-159.PubMed

10.

Sabra O, Sabri A, Sfeir P: Airway obstruction secondary to thoracic aortic aneurysm leak. A case report. Eur Arch Otorhinolaryngol. 2006, 263: 1144-1146. 10.1007/s00405-006-0113-z. Epub Jul 20. 2006CrossRefPubMed

11.

Miller CH: Retropharyngeal hematomas. Minn Med. 1970, 53: 887-888.PubMed

12.

Newton AI: Spontaneous retropharyngeal hematoma: an unusual presentation of thoracic aortic Dissection. J Emerg Med. 2006, 31: 45-48. 10.1016/j.jemermed.2005.08.010.CrossRefPubMed

13.

Moncada R, Warpeha R, Pickleman J: Mediastinitis from odontogenic and deep cervical infection-Anatomic pathways of propagation. Chest. 1978, 73: 497-500. 10.1378/chest.73.4.497.CrossRefPubMed

14.

Davies RR, Gallo A, Coady MA: Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms. Ann Thorac Surg. 2006, 81: 169-177. 10.1016/j.athoracsur.2005.06.026.CrossRefPubMed

Title: Airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture
Authors: Hiroshi Kubota
Hidehito Endo
Mio Noma
Hiroshi Tsuchiya
Akihiro Yoshimoto
Yusuke Inaba
Yoshifumi Nishino
Ayaka Tsuboi
Yuki Sato
Naoyuki Kohno
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-8-232

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Airway obstruction by a retropharyngeal hematoma secondary to thoracic aortic aneurysm rupture

Abstract

Background

Methods and results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods and results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2013

Reexpansion pulmonary edema after treatment of simultaneous bilateral spontaneous tension pneumothorax

Outcome and survival analysis of surgical repair of post-infarction ventricular septal rupture

Coronary flow and reactivity, but not arrhythmia vulnerability, are affected by cardioplegia during cardiopulmonary bypass in piglets

Left ventricular endocardial ecchinococcosis associated with multiple intracranial hydatid cysts

Aortic valve replacement via right anterolateral thoracotomy in the case of a patient with extreme mediastinal right-shift following pneumonectomy

Less invasive coronary artery revascularization with a minimized extracorporeal circulation system: preliminary results of a comparative study with off-pump-procedures