title: Redo arch aneurysm repair for new-onset aortic arch dissection following ascending aortic surgery: long elephant trunk technique combined with trifurcate-branched graft.
abstract: Reoperative surgical intervention for a new-onset aortic arch dissection following a Bentall procedure or graft replacement for the ascending aorta is often difficult, especially in elderly patients. Herein, we report a re-do arch replacement method using a trifurcate-branched graft and long elephant trunk anastomosis at the composite root graft on the ascending aorta. The present technique is feasible as an alternative for new-onset or residual aortic arch aneurysm, as well as dissection following an operation for the ascending aorta.
authors.affiliation: Department of Cardiovascular Surgery and Clinical Engineering Section, Japan Labour Health and Welfare Organization, Osaka Rosai Hospital, Nagasone-cho, Kita-ku, Sakai, Japan. yasuhiro-shudo@s5.dion.ne.jp
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shudo
authors.forename: Koichi
authors.initials: K
authors.lastname: Toda
authors.forename: Hajime
authors.initials: H
authors.lastname: Matsue
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hata
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Yoshida
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Taniguchi
mesh_terms: D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome