title: [Successful repair of descending aortic aneurysm with narrowed elephant trunk after total arch replacement; report of a case].
abstract: A 40-year-old man had undergone total arch replacement using the elephant trunk technique. Three years after the initial operation, stenosis of the elephant trunk due to enlargement of a false lumen was detected. Replacement of the descending thoracic aorta was performed. A narrow segment of the elephant trunk was compressed by old hematoma and lapped around the connective tissue. A new graft was anastomosed to the narrow segment of the elephant trunk in an end-to-side fashion. Postoperative course was uneventful, and he was discharged 18 days after the operation.
authors.affiliation: Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Nakamura
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Uchida
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Maekawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mizumoto
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamashita
authors.forename: Cholsu
authors.initials: C
authors.lastname: Kim
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Yoshimura
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sadahiro
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation