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Asian Cardiovasc Thorac Ann 2004;12:168-170
© 2004 Asia Publishing EXchange Ltd

HOW TO DO IT

Modified Elephant Trunk Technique for Distal Reconstruction of Ragged Descending Thoracic Aorta

Masato Nakajima, MD, Kouji Tsuchiya, MD, Hidenori Inoue, MD, Kensuke Kobayashi, MD, Koki Takizawa, MD

Department of Cardiovascular Surgery, Yamanashi Central Hospital, Yamanashi, Japan

For reprint information contact: Masato Nakajima, MD Tel: 81 55 253 7111 Fax: 81 55 253 8011 Email: m-nakajima2a{at}ych.pref.yamanashi.jp Department of Cardiovascular Surgery, Yamanashi Central Hospital, 1-1-1 Fujimi, Kofu City, Yamanashi 400-0027, Japan.

We present a modified elephant trunk technique with a novel indication for aortic arch aneurysm with ragged, undilated descending thoracic aorta. Our modification is simple and effective for minimizing bleeding from the distal anastomosis and has the possibility of preventing distal embolization of atheromatous plaque by ensuring sufficient contact area between the graft and the aortic wall.






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