title: Treatment of giant aortic aneurysm with tracheal compression and sternal erosion without circulatory arrest.
abstract: Treatment of huge aneurysms involving the ascending aorta and the aortic arch with compression of the surrounding structures represents a surgical challenge. The case of a patient affected by respiratory insufficiency and sternal erosion caused by chronic giant aortic aneurysm is reported. The use of a stepwise approach and selective cerebral arterial perfusion ensured successful operative management, avoiding circulatory arrest and enabling an expeditious postoperative recovery.
authors.affiliation: Division of Cardiac Surgery, Civil Hospital, Brescia, Italy. roberto_lorusso@iol.it
authors.forename: R
authors.initials: R
authors.lastname: Lorusso
authors.forename: G
authors.initials: G
authors.lastname: Coletti
authors.forename: P
authors.initials: P
authors.lastname: Totaro
authors.forename: R
authors.initials: R
authors.lastname: Maroldi
authors.forename: M
authors.initials: M
authors.lastname: Zogno
mesh_terms: D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001847:Bone Diseases / Q000209:etiology*; D002315:Cardiopulmonary Bypass; D002560:Cerebrovascular Circulation / Q000502:physiology; D002908:Chronic Disease; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D010477:Perfusion; D012131:Respiratory Insufficiency / Q000209:etiology; D013249:Sternum / Q000473:pathology*; D014135:Tracheal Stenosis / Q000209:etiology*; D016896:Treatment Outcome