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Treatment of giant aortic aneurysm with tracheal compression and sternal erosion without circulatory arrest
R Lorusso1, G Coletti, P Totaro
1Division of Cardiac Surgery, Civil Hospital, Brescia, Italy. roberto_lorusso@iol.it
The Annals of Thoracic Surgery
|February 2, 2000
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.