Elephant trunk anastomosis between left carotid and subclavian arteries for aneurysmal distal aortic arch.
There is an increased risk of rupture with attempting a distal anastomosis when the distal aortic arch exceeds 5 to 6 cm. To circumvent this problem, we describe performing the anastomosis between the left common carotid and the left subclavian arteries and, at the second-stage operation, interposing a tube graft between the left subclavian artery and the descending aortic tube graft.
Svensson
L G
LG
Center for Aortic Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA. lars.g.svensson@lahey.org
Kaushik
S D
SD
Marinko
E
E
D000714:Anastomosis, Surgical / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002339:Carotid Arteries; D006801:Humans; D013348:Subclavian Artery; D014656:Vascular Surgical Procedures / Q000379:methods