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Roberto Lorusso
Pasquale Totaro
Mario Zogno
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Ann Thorac Surg 2000;69:275-278
© 2000 The Society of Thoracic Surgeons

Case Reports

Treatment of giant aortic aneurysm with tracheal compression and sternal erosion without circulatory arrest

Roberto Lorusso, MD, PhDa, Giuseppe Coletti, MDa, Pasquale Totaro, MDa, Roberto Maroldi, MDb, Mario Zogno, MDa

a Division of Cardiac Surgery, Civil Hospital, Brescia, Italy
b Division of Radiology, Civil Hospital, Brescia, Italy

Address reprint requests to Dr Roberto Lorusso, Cardiac Surgery Division, Civil Hospital, Piazzale Spedali Civili, 1, 25125 Brescia, Italy
e-mail: roberto_lorusso{at}iol.it

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.






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