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Application of the reversed elephant trunk technique during total thoracoabdominal replacement in patients with
N Shiiya1, K Yasuda, T Murashita
1Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan.
Journal of Cardiac Surgery
|January 19, 1999
Abstract:
The reversed elephant trunk operation has been applied in patients with extensive aortic involvement as a scheduled staged operation. We report application of the same technique in two patients with Marfan's syndrome. The two patients underwent total replacement of the thoracoabdominal aorta for a DeBakey IIIb aortic dissection. The proximal end of the prosthetic graft was invaginated to facilitate future proximal operation. No complication related to the trunk had been observed during the follow-up period.