{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:22:29Z","timestamp":1761902549206,"version":"build-2065373602"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:00:00Z","timestamp":1761868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Several cases of tracheal stenosis due to thoracic aortic aneurysm have been reported. However, cases of aortic aneurysm discovered following ventilation difficulties immediately after the induction of general anesthesia are rare. The patient, a 90-year-old woman with a history of ascending aortic replacement for a thoracic aortic aneurysm, was scheduled for sternum infection debridement. During induction, adequate ventilation could not be achieved despite the use of positive pressure, even after tracheal intubation. Bronchoscopy showed tracheal compression, which was not apparent in preoperative evaluations. CT imaging on the day demonstrated that the compression was caused by a thoracic aortic aneurysm. A thoracic endovascular aneurysm repair was performed successfully, and the tracheal compression improved afterwards. Compression from outside the trachea should be considered as a potential cause of sudden ventilation difficulties. Particularly in patients with a history of aortic surgery, additional preoperative assessments should be considered.<\/jats:p>","DOI":"10.1186\/s40981-025-00827-3","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:15:49Z","timestamp":1761902149000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of thoracic aortic aneurysm discovered following poor ventilation during induction of anesthesia"],"prefix":"10.1186","volume":"11","author":[{"given":"Mahiro","family":"Isogai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ko","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Funabiki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5796-4308","authenticated-orcid":false,"given":"Takashi","family":"Suto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"827_CR1","doi-asserted-by":"publisher","DOI":"10.1111\/aas.70007","volume":"69","author":"K Fosse","year":"2025","unstructured":"Fosse K, Salomonsen M, Gisvold SE, Gundersen B, Nordseth T. Can intubate, cannot ventilate: a proposed algorithm to handle problems with ventilation and oxygenation after intubation. Acta Anaesthesiol Scand. 2025;69:e70007.","journal-title":"Acta Anaesthesiol Scand"},{"key":"827_CR2","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/j.1365-2044.1985.tb10754.x","volume":"40","author":"RG MacGILLIVRAY","year":"1985","unstructured":"MacGILLIVRAY RG. Tracheal compression caused by aneurysms of the aortic arch: implications for the anaesthetist. Anaesthesia. 1985;40:270\u20137.","journal-title":"Anaesthesia"},{"key":"827_CR3","first-page":"278","volume":"27","author":"A Verdant","year":"1984","unstructured":"Verdant A. Chronic traumatic aneurysm of the descending thoracic aorta with compression of the tracheobronchial tree. Can J Surg J Can Chir. 1984;27:278\u20139.","journal-title":"Can J Surg J Can Chir"},{"key":"827_CR4","doi-asserted-by":"publisher","first-page":"956","DOI":"10.1016\/S0022-5223(19)41824-2","volume":"63","author":"EA Lefrak","year":"1972","unstructured":"Lefrak EA, Stevens PM, Howell JF. Respiratory insufficiency due to tracheal compression by an aneurysm of the ascending, transverse, and descending thoracic aorta. Successful surgical management in a 76-year-old man. J Thorac Cardiovasc Surg. 1972;63:956\u201361.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"827_CR5","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/S0022-5223(19)37581-6","volume":"85","author":"EJ Charrette","year":"1983","unstructured":"Charrette EJ, Winton TL, Salerno TA. Acute respiratory insufficiency from an aneurysm of the descending thoracic aorta. J Thorac Cardiovasc Surg. 1983;85:467\u201370.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"827_CR6","doi-asserted-by":"publisher","first-page":"568","DOI":"10.4103\/0971-9784.185568","volume":"19","author":"A Kumar","year":"2016","unstructured":"Kumar A, Dutta V, Negi S, Puri GD. Vascular airway compression management in a case of aortic arch and descending thoracic aortic aneurysm. Ann Card Anaesth. 2016;19:568\u201371.","journal-title":"Ann Card Anaesth"},{"issue":"2","key":"827_CR7","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1016\/j.jvs.2015.12.058","volume":"64","author":"Y Koda","year":"2016","unstructured":"Koda Y, Murakami H, Matsuda H, Mukohara N. Release of tracheal compression by innominate artery aneurysm. J Vasc Surg. 2016;64:499.","journal-title":"J Vasc Surg"},{"key":"827_CR8","doi-asserted-by":"publisher","first-page":"256.e1","DOI":"10.1016\/j.ajem.2008.06.034","volume":"27","author":"W-C Chen","year":"2009","unstructured":"Chen W-C, Tu C-Y, Liang S-J, Liu J-C, Chen W. Metallic stents for rescuing a patient with severe upper airway compression due to aortic aneurysm. Am J Emerg Med. 2009;27:256.e1-256.e4.","journal-title":"Am J Emerg Med"},{"key":"827_CR9","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1177\/0310057X221076139","volume":"51","author":"J Yue","year":"2023","unstructured":"Yue J, Zhou L, Liang P. A case of unexpected intraoperative airway obstruction in a patient with an aneurysm of the ascending aorta and aortic arch. Anaesth Intensiv Care. 2023;51:72\u20134.","journal-title":"Anaesth Intensiv Care"},{"key":"827_CR10","first-page":"21","volume":"27","author":"J Nishiyama","year":"2002","unstructured":"Nishiyama J, Suzuki T, Ajimi J, Nitta M, Takiguchi M. Difficult placement of Univent tube blocker due to aberrant right subclavian artery aneurysm. Tokai J Exp Clin Med. 2002;27:21\u20136.","journal-title":"Tokai J Exp Clin Med"},{"key":"827_CR11","doi-asserted-by":"crossref","unstructured":"Sabra O, Sabri A, Sfeir P. Airway obstruction secondary to thoracic aortic aneurysm leak: a case report. Eur Arch Otorhinolaryngol. 2006;263:1144\u20136.","DOI":"10.1007\/s00405-006-0113-z"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-025-00827-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-025-00827-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-025-00827-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:15:52Z","timestamp":1761902152000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-025-00827-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["827"],"URL":"https:\/\/doi.org\/10.1186\/s40981-025-00827-3","relation":{},"ISSN":["2363-9024"],"issn-type":[{"value":"2363-9024","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"assertion":[{"value":"16 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 October 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Informed consent for participation was obtained from the patient using a form approved by the ethics committee of Gunma University Hospital.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent for publication was obtained from the patient.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"62"}}