Repair of ruptured anastomotic aneurysm: elephant trunk technique after endovascular covered stents
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Updated: Oct 30, 2026

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
1Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Japan.
The Annals of Thoracic Surgery
|February 10, 1998
Abstract:
Endovascular covered stents were successfully applied to temporarily halt hemoptysis and postpone surgical intervention in a 69-year-old man with a ruptured anastomotic false aneurysm of the distal aortic arch. Surgical graft implantation was performed successfully by the elephant trunk technique 14 days after the endovascular stent-grafting, at which time aspiration pneumonia had subsided.
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