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Flanged elephant trunk technique at distal anastomosis for total arch replacement with multibranched arch graft
Yasunori Iida1, Nobusato Koizumi, Katsuhiko Matsuyama
1Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan. y.iida@vanilla.ocn.ne.jp
Annals of Vascular Surgery
|April 2, 2013
Abstract:
Bleeding from the distal anastomosis suture line in total arch replacement is a serious and major concern for surgeons. We present a simple, flanged elephant trunk technique to reduce or eliminate bleeding from the distal anastomosis suture line in total arch replacement using a multibranched arch graft. This method allows not only a secure and reinforced distal anastomosis, but also simultaneous elephant trunk insertion.