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CC BY 4.0 · Aorta (Stamford) 2022; 10(06): 304-307
DOI: 10.1055/s-0042-1757796
Case Report

The Secret behind Extreme Hypoxia Tolerance: A “Slow-Growth” Thoracoabdominal Aneurysm

Autor*innen

  • Carlo Olevano 

    1   Division of Cardiac Surgery, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

  • Giuliano Gagliardi

    2   Division of Cardiac Imaging, Department of Radiology, S.G. Moscati Hospital, Avellino, Italy

  • Mollo Antonio

    1   Division of Cardiac Surgery, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

  • Santaniello Eugenio

    1   Division of Cardiac Surgery, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

  • Loris Flora

    3   Division of Vascular Surgery, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

  • Emilio Di Lorenzo

    4   Division of Cardiology, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

  • Brenno Fiorani

    1   Division of Cardiac Surgery, Department of Cardiovascular Surgery, S.G. Moscati Hospital, Avellino, Italy

Funding Funding received from the Serom Medical Technology.
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Abstract

A 61-year-old man presented to our institution complaining of back pain. Breathing was comfortable. An arterial blood gas showed extreme hypoxia causing chronic respiratory alkalosis. Further investigations revealed aneurysmal dilatation of the ascending aorta and the Crawford Type II thoracoabdominal aneurysm, with compression of both the left main bronchus and the right pulmonary artery. The patient was managed with a two-stage hybrid surgical approach comprising total arch replacement using the frozen elephant trunk technique followed by endovascular repair.

Keywords

thoracoabdominal aneurysm - frozen elephant trunk - tracheobronchomalacia - extreme hypoxemia


Publikationsverlauf

Eingereicht: 14. November 2021

Angenommen: 06. Juli 2022

Artikel online veröffentlicht:
20. Dezember 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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