title: Successful total arch replacement with long elephant trunk for chronic aortic dissection (DeBakey IIIb).
abstract: A 68-year-old man presenting with abdominal distention was found on enhanced computed tomography to have a dilated ascending aorta and aortic dissection (DeBakey IIIb). Through a median sternotomy, we performed a total arch replacement using a four-branched Hemashield graft (Meadox Medical, Oakland, NJ) and a long elephant trunk anastomosis at the base of the innominate artery. Postoperatively, a pseudolumen of the descending aorta was effectively thrombo-excluded to the T12 level. Visceral blood flow was preserved, and the patient's postoperative course was uneventful.
authors.affiliation: Department of Cardiovascular Surgery, Japan Labour Health and Welfare Organization, Osaka Rosai Hospital, Osaka, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shudo
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Taniguchi
authors.forename: Hajime
authors.initials: H
authors.lastname: Matsue
authors.forename: Toshiki
authors.initials: T
authors.lastname: Takahashi
authors.forename: Koichi
authors.initials: K
authors.lastname: Toda
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hata
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000000981:diagnostic imaging; D015607:Stents; D014057:Tomography, X-Ray Computed