CTICasesTracheobronchomalacia from Giant Aortic Aneurysm
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Imaging findings
A 69-year-old woman on a ventilator showed a massive aortic aneurysm (with prior ascending repair) causing severe compression of the trachea and main bronchi, leading to tracheobronchomalacia and dynamic airway collapse.
Key takeaways
Massive aortic aneurysms can cause severe airway compromise and tracheobronchomalacia, making ventilator weaning difficult. Airway stabilization (e.g., with a stent) may be necessary before definitive surgical repair of the aneurysm can be attempted.
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