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Related Experiment Videos

Stented elephant trunk method for multiple thoracic aneurysms.

S Miyamoto1, T Hadama, H Anai

  • 1Department of Cardiovascular Surgery, Oita Medical University, Japan. smiyamot@oita-med.ac.jp

The Annals of Thoracic Surgery
|March 10, 2001
PubMed
Summary

Combined stent-grafting and open graft replacement effectively treats multiple thoracic aneurysms by reducing suture anastomosis complications. This approach, using the elephant trunk technique, offers a viable solution for complex aortic conditions.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Thoracic Surgery

Background:

  • Suture anastomosis in the descending aorta carries significant complication risks.
  • Minimally invasive techniques are sought to improve outcomes for thoracic aortic aneurysms.
  • Multiple aneurysms present complex surgical challenges.

Observation:

  • A patient with multiple thoracic aneurysms was treated using a combined stent-grafting and open graft replacement technique.
  • The elephant trunk procedure was employed for thromboexclusion.
  • A single branched graft was successfully deployed without complications.

Findings:

  • Combined stent-grafting and open graft replacement is a feasible and effective strategy for complex thoracic aortic aneurysms.
  • The elephant trunk procedure facilitates thromboexclusion in these cases.

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  • Single branched grafts can be easily placed in complex anatomies.

    • Implications:

    • This combined approach offers an excellent alternative for patients with both proximal and distal thoracic aortic aneurysms.
    • It potentially reduces the morbidity associated with traditional open repair.
    • Further studies are warranted to evaluate long-term outcomes.