RESUMEN
An asymptomatic saccular ascending aortic aneurysm was diagnosed during workup for renal transplantation in a 39-year-old man. At operation, the aneurysm was noted to arise from within a localized and healed dissection, and was managed by ascending aortic replacement and sinotubular junction refashioning.
Asunto(s)
Aneurisma de la Aorta/diagnóstico , Disección Aórtica/diagnóstico , Adulto , Disección Aórtica/etiología , Disección Aórtica/cirugía , Aneurisma de la Aorta/etiología , Aneurisma de la Aorta/cirugía , Aortografía/métodos , Enfermedades Asintomáticas , Implantación de Prótesis Vascular , Enfermedad Crónica , Humanos , Hallazgos Incidentales , Trasplante de Riñón , Masculino , Valor Predictivo de las Pruebas , Cuidados Preoperatorios , Factores de Riesgo , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
We describe a case of an extensive post-intubation membranous tracheal rupture in a 67-year old patient after emergency intubation. This was managed surgically by bovine pericardial patch repair. Other cases of autologous and bovine patch repair of tracheal lacerations exist in the literature, and we believe this is the first report of successful bovine patch repair without accessory autologous tissue reinforcement. This technique may be used in surgically managed cases of membranous tracheal rupture where primary repair is unsuitable, thereby reducing procedural complexity.