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Successful Total Tracheal Replacement by Cryopreserved Aortic Allograft in a Patient Post-COVID-19 Infection.
Menna, Cecilia; Andreetti, Claudio; Ibrahim, Mohsen; Ciccone, Anna Maria; D'Andrilli, Antonio; Maurizi, Giulio; Massullo, Domenico M; Fiorelli, Silvia; Rendina, Erino A.
  • Menna C; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy. Electronic address: cecilia.menna@uniroma1.it.
  • Andreetti C; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Ibrahim M; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Ciccone AM; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • D'Andrilli A; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Maurizi G; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Massullo DM; Division of Anesthesiology and Intensive Care Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Fiorelli S; Division of Anesthesiology and Intensive Care Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
  • Rendina EA; Division of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Italy.
Chest ; 160(6): e613-e617, 2021 12.
Article in English | MEDLINE | ID: covidwho-1544871
ABSTRACT
This is the first report to our knowledge of a successful total tracheal replacement in a post-COVID-19 patient by cryopreserved aortic allograft. The graft was anastomosed to the cricoid and carina; a silicon stent was inserted to ensure patency. The patient was extubated on the operative table and was immediately able to breathe, speak, and swallow. No immunosuppression was administered. Three weeks after surgery, the patient was discharged from hospital in excellent health, and was able to resume his normal lifestyle, work, and activity as an amateur cyclist. Two months after surgery, the patient assumes aerosol with saline solution three times per day and no other therapy; routine bronchoscopy to clear secretions is no longer needed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Aorta / Tracheal Stenosis / Plastic Surgery Procedures / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Chest Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Aorta / Tracheal Stenosis / Plastic Surgery Procedures / COVID-19 Type of study: Case report Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Chest Year: 2021 Document Type: Article