A Case of Right Aortic Arch Examined by Flexible Fiberoptic Bronchoscopy

Stenosis of the Right Main Stem was Strongly suggestive as the Cause of the Right Bronchopneumonia

Abstract

We examined an asymptomatic patient with a right retro-esophageal aortic arch for a suspected mediastinal tumor by radiographically and bronchoesophagologically.
No evidence of malignancy was discovered, however stenosis of the airway due to compression from out side were noticed around the middle part of the trachea and bilateral upper main stem bronchi, and extremely stenotic lumen due to compression from anterior and posterior with slight inflammatory signs were lacalized at the carina and right upper stem bronchus, by flexible fiberoptic bronchoscopy. Attendant pulsation of these area were also noted during examination.
These tracheo-bronchial findings were strongly suggestive as the cause of a recent episode of right middle bronchopneumonia.