Anesthetic Management for Endovascular Coiling and Insertion of Tracheobronchial Stents in Patients with Airway Stenosis Caused by Ascending Aortic Aneurysm

Abstract

We experienced anesthesia management of patient with inoperable ascending aortic aneurysm and rapidly occurring progressive airway stenosis. A 71-year-old man was scheduled for tracheobronchial stenting with silicone Y stent. First, with PCPS stand-by, endovascular coiling for aneurysm was performed to reduce the risk of rupture. General anesthesia was induced and a stent was successfully inserted with rigid bronchoscopy.

We were able to safely manage anesthesia with the cooperation of several medical departments. The patient died about one month after stenting. In order to avoid over-treatment, healthcare providers should carefully evaluate how far they should go in the treatment of patients with a poor prognosis.