title: Modified elephant trunk technique for distal reconstruction of ragged descending thoracic aorta.
abstract: We present a modified elephant trunk technique with a novel indication for aortic arch aneurysm with ragged, undilated descending thoracic aorta. Our modification is simple and effective for minimizing bleeding from the distal anastomosis and has the possibility of preventing distal embolization of atheromatous plaque by ensuring sufficient contact area between the graft and the aortic wall.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Central Hospital, Yamanashi, Japan. m-nakajima2a@ych.pref.yamanashi.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Nakajima
authors.forename: Kouji
authors.initials: K
authors.lastname: Tsuchiya
authors.forename: Hidenori
authors.initials: H
authors.lastname: Inoue
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Koki
authors.initials: K
authors.lastname: Takizawa
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed