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Elephant trunk anastomosis between left carotid and subclavian arteries for aneurysmal distal aortic arch
L G Svensson1, S D Kaushik, E Marinko
1Center for Aortic Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA. lars.g.svensson@lahey.org
Abstract:
There is an increased risk of rupture with attempting a distal anastomosis when the distal aortic arch exceeds 5 to 6 cm. To circumvent this problem, we describe performing the anastomosis between the left common carotid and the left subclavian arteries and, at the second-stage operation, interposing a tube graft between the left subclavian artery and the descending aortic tube graft.
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