Abstract
We report a rare case of an infected brachiocephalic arterial aneurysm associated with tracheal obstruction. A 59-year-old diabetic man was referred to our hospital because of a rapidly growing brachiocephalic aneurysm. He developed acute respiratory failure, and chest computed tomography showed a large brachiocephalic arterial aneurysm causing severe tracheal stenosis. Extra-anatomical grafting between the right and left common carotid arteries was performed with a prosthetic vascular graft. The brachiocephalic aneurysm was excised, followed by omentopexy. Sixty-seven days later, the patient successfully underwent an additional endovascular coiling for a pseudoaneurysm of the distal stump of the brachiocephalic artery.
