Stented elephant trunk method for multiple thoracic aneurysms.
Stent-grafting and open graft replacement was introduced to reduce the complications of suture anastomosis in the descending aorta. We applied this technique in the treatment of a patient with multiple thoracic aneurysms. The elephant trunk procedure was used for thromboexclusion. A single branched graft was placed easily without twisting. In patients with aneurysms at both the proximal and distal thoracic aorta, combined stent-grafting and open graft replacement is an excellent approach.
Department of Cardiovascular Surgery, Oita Medical University, Japan. smiyamot@oita-med.ac.jp
S
S
Miyamoto
T
T
Hadama
H
H
Anai
H
H
Sako
O
O
Shigemitsu
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D013536:Suture Techniques