title: Endovascular Retrieval of Entrapped Elephant Trunk Graft During Complex Hybrid Aortic Arch Repair.
abstract: Entrapment of the elephant trunk graft within the false lumen is a rare complication of surgical repair of an aortic dissection. This is normally retrieved by emergent open surgery. We describe a technique of endovascular retrieval of the dislodged graft, during hybrid aortic arch repair. The elephant trunk was cannulated through and through from a femoral access and the free end of the wire was snared and retrieved from a brachial access. The wire was externalised from both accesses and was used to reposition the graft into the true lumen using a body flossing technique.
authors: Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore. drdkarthik@hotmail.com.
authors: Karthikeyan
authors: http://orcid.org/0000-0002-0655-6021
authors: K
authors: Damodharan
authors: Department of Cardiothoracic Surgery, National Heart Centre, Singapore, Singapore.
authors: Victor T T
authors: VT
authors: Chao
authors: Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore.
authors: Kiang Hiong
authors: KH
authors: Tay
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: Elephant trunk graft; Endovascular; Hybrid aortic arch repair