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

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 thoracoabdomin...

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Detalles Bibliográficos
Autores principales: Olevano, Carlo, Gagliardi, Giuliano, Antonio, Mollo, Eugenio, Santaniello, Flora, Loris, Lorenzo, Emilio Di, Fiorani, Brenno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9767754/
https://www.ncbi.nlm.nih.gov/pubmed/36539149
http://dx.doi.org/10.1055/s-0042-1757796
Descripción
Sumario: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.