title: Modification of the elephant trunk procedure for treatment of acute aortic dissection.
abstract: The distal anastomosis constructed during repair of an aortic dissection is prone to bleeding, reentry, and neodissection. To protect the hemostasis, a modification of Borst's elephant trunk procedure has been devised. This "mini-trunk" protects the anastomosis with an internal buttress using the crease of an infolded graft and with a short flap of graft everted into the distal lumen preventing access of the blood stream to this newly constructed suture line.
authors.affiliation: Minneapolis Heart Institute, MN 55407, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Emery
authors.forename: K V
authors.initials: KV
authors.lastname: Arom
authors.forename: D M
authors.initials: DM
authors.lastname: Nicoloff
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods