title: How to do it: proximal elephant trunk insertion technique for preventing stroke during replacement of the descending aorta through a left thoracotomy.
abstract: To reduce the risk of stroke during open surgery for the treatment of descending thoracic or thoracoabdominal aortic diseases, we attempted to insert a proximal elephant trunk to stabilize the atherosclerosis at the site of the proximal anastomosis. Although the patients had dense atherosclerotic lesions, they recovered well without neurologic complications. This technique is simple and may be effective for preventing stroke when replacing the descending thoracic or thoracoabdominal aorta through a left thoracotomy.
authors: Department of Cardiovascular Surgery, Kyorin University, Mitaka, Tokyo, Japan. kub@ks.kyorin-u.ac.jp
authors: Hiroshi
authors: H
authors: Kubota
authors: Hidehito
authors: H
authors: Endo
authors: Hiroshi
authors: H
authors: Tsuchiya
authors: Akihiro
authors: A
authors: Yoshimoto
authors: Yu
authors: Y
authors: Takahashi
authors: Yusuke
authors: Y
authors: Inaba
authors: Kenichi
authors: K
authors: Sudo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000601:surgery*; D001161:Arteriosclerosis; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006324:Heart Arrest, Induced; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D040242:Risk Reduction Behavior; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods*