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Heterotopic Auxiliary Rat Liver Transplantation With Flow-regulated Portal Vein Arterialization in Acute Hepatic Failure
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Delayed visceral malperfusion caused by kinking of a four-branched integrated frozen elephant trunk graft
Takuya Matsushiro1, Tomoki Tamura1, Nobuyuki Inoue1
1Department of Cardiovascular Surgery, National Center for Global Health and Medicine, Tokyo, Japan.
Interdisciplinary Cardiovascular and Thoracic Surgery
|March 4, 2025
Abstract:
An integrated frozen elephant trunk with a four-branched vascular graft may shorten the circulatory arrest time during open distal anastomosis. We report a case of acute type A aortic dissection where postoperative graft kinking led to acute liver failure, kidney injury and lower limb ischaemia corrected by thoracic endovascular aortic repair.

