title: Transbrachial endoclamping of the graft for descending aortic aneurysm after the elephant trunk procedure.
abstract: Patients who have undergone the elephant trunk procedure because of aortic dissection may subsequently present with a descending aortic aneurysm. We describe the technique of "endograft aortic control by inflating a compliant aortic occlusion balloon," in which a balloon is placed in the proximal descending aortic graft without cross-clamping to avert problems of hemorrhage at the second stage of the elephant trunk procedure.
authors.affiliation: Department of Cardiovascular Surgery, University of Fatih, Ankara, Turkey. ncolak44@gmail.com
authors.forename: Necmettin
authors.initials: N
authors.lastname: Colak
authors.forename: Yunus
authors.initials: Y
authors.lastname: Nazli
authors.forename: Ismail
authors.initials: I
authors.lastname: Kirbas
authors.forename: Omer
authors.initials: O
authors.lastname: Cakir
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D021721:Balloon Occlusion; D003250:Constriction; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods