title: Application of the reversed elephant trunk technique during total thoracoabdominal replacement in patients with Marfan's syndrome.
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.
authors.affiliation: Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Shiiya
authors.forename: K
authors.initials: K
authors.lastname: Yasuda
authors.forename: T
authors.initials: T
authors.lastname: Murashita
authors.forename: T
authors.initials: T
authors.lastname: Kubota
authors.forename: Y
authors.initials: Y
authors.lastname: Suto
authors.forename: T
authors.initials: T
authors.lastname: Miyatake
authors.forename: K
authors.initials: K
authors.lastname: Takigami
authors.forename: E
authors.initials: E
authors.lastname: Hatta
authors.forename: K
authors.initials: K
authors.lastname: Yoshimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Matsui
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000601:surgery*