title: Endovascular repair after stent elephant trunk procedure for extensive thoracic aortic aneurysm.
abstract: Hybrid surgical-endovascular procedure was conducted in a 46-year-old male with extensive thoracic aortic aneurysm. Ascending aorta and arch replacement combined with stent elephant trunk implantation was performed first. An open stent-graft was implanted into the descending aorta. One month later, endovascular repair was conducted. Postoperative CTA showed total coverage of the descending aorta by stent-grafts and the descending aortic aneurysm was totally thrombo-excluded. Stent elephant trunk may be a better alternative to conventional elephant trunk in hybrid surgical-endovascular approaches in treatment of extensive thoracic aortic aneurysm.
authors.affiliation: Division of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China. xushangdong@vip.sina.com
authors.forename: Shang Dong
authors.initials: SD
authors.lastname: Xu
authors.forename: Zhan Ming
authors.initials: ZM
authors.lastname: Fan
authors.forename: Yu
authors.initials: Y
authors.lastname: Li
authors.forename: Fang Jiong
authors.initials: FJ
authors.lastname: Huang
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012720:Severity of Illness Index; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome