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Massive Tracheal Necrosis due to Compression by an Innominate Artery Aneurysm Associated With a Grade IV Chagasic Megaesophagus and Chronic Duodenal Ulcer*

Albert Amin Sader, MD, PhD; Jesualdo Cherri, MD; Reginaldo Ceneviva, MD, PhD
Author and Funding Information

* From the Divisions of Thoracic and Cardiovascular Surgery (Dr. Sader), Vascular Surgery (Dr. Cherri), and Gastroenterologic Surgery (Dr. Ceneviva), Department of Surgery, Orthopedics and Traumatology - Faculty of Medical Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Correspondence to: Albert Amin Sader, MD, PhD, Rua José Leal, 1015, 14025–260 - Ribeirão Preto, SP - Brazil



Chest. 1999;116(3):837-840. doi:10.1378/chest.116.3.837
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A 49-year-old man suffered necrosis of the cephalad tracheal segment due to compression by an innominate artery aneurysm. A peritracheal abscess, a grade IV chagasic megaesophagus, and a duodenal ulcer were also present. The patient underwent a three-stage surgical treatment, and 7 years later he is doing well, and breathing and eating normally.

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