title: Flanged elephant trunk technique at distal anastomosis for total arch replacement with multibranched arch graft.
abstract: Bleeding from the distal anastomosis suture line in total arch replacement is a serious and major concern for surgeons. We present a simple, flanged elephant trunk technique to reduce or eliminate bleeding from the distal anastomosis suture line in total arch replacement using a multibranched arch graft. This method allows not only a secure and reinforced distal anastomosis, but also simultaneous elephant trunk insertion.
authors.affiliation: Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan. y.iida@vanilla.ocn.ne.jp
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Iida
authors.forename: Nobusato
authors.initials: N
authors.lastname: Koizumi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Matsuyama
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ogino
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D057868:Anastomotic Leak / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed