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Modified elephant trunk technique for chronic aortic dissection: the "double elephant trunk"
1Department of Cardiac Surgery, S. Maria Della Misericordia Hospital, Perugia, Italy.
Journal of Cardiac Surgery
|December 17, 2013
Summary
The elephant trunk technique for aortic dissection can cause visceral malperfusion. A modified technique is presented to prevent this complication by maintaining blood flow to splanchnic arteries.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Surgery
Background:
- The "elephant trunk" (ET) technique is standard for chronic aortic arch and thoracoabdominal aorta dissection.
- Visceral malperfusion is a potential complication of the ET technique.
Observation:
- Obliteration of the patent false lumen can compromise splanchnic artery perfusion.
- This can lead to inadequate blood supply to visceral organs.
Findings:
- An original modification of the ET technique is described.
- This modification aims to prevent visceral malperfusion.
Implications:
- The modified ET technique may improve outcomes for patients undergoing aortic dissection repair.
- This approach could reduce the incidence of serious postoperative complications.
