Two-Stage Elephant Trunk approach for open management of distal aortic arch and descending aortic pathology in patients with Marfan syndrome.
نویسندگان
چکیده
Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, CT, USA; Section of Vascular and Endovascular Surgery, Yale-New Haven Hospital, CT, USA; Department of Surgical Diseases #2, Kazan State Medical University, Kazan, Russia Correspondence to: John A. Elefteriades, MD. Aortic Institute at Yale-New Haven, Yale University School of Medicine, Clinic Building CB 317, 789 Howard Avenue, New Haven, CT 06519, USA. Email: [email protected].
منابع مشابه
Elephant trunk procedure 27 years after Borst: what remains and what is new?
The treatment of complex aortic pathology involving both the ascending and descending aortic segments at the same time represents a surgical challenge, with high postoperative morbidity and mortality rates reported. Over the past 27 years, different open surgical and endovascular techniques have been introduced and applied in various two-stage- or one-stage approaches to such cases. Thus, in 19...
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Patients with extensive aortic aneurysms involving the ascending aorta, aortic arch, and the descending aorta are still considered to be a challenge for many cardiovascular surgeons. The introduction of the elephant trunk technique by Borst et al. in 1983 has greatly facilitated surgery on this kind of pathology and this technique has been recognized as a standard modality for treatment of exte...
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OBJECTIVE The frozen elephant trunk technique allows the repair of concomitant aortic arch and proximal descending aortic pathology in a single stage by using a hybrid prosthesis consisting of a vascular graft with a distal stented end. There are patients, however, who will require a second distal operation despite this new technique due to progression of their aortic disease. It has been uncle...
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OBJECTIVES The combined disease of the aortic arch and the proximal descending aorta remains a surgical challenge. With the 'frozen elephant technique', the ascending aorta, along with the aortic arch, is replaced conventionally and an endovascular stent graft is placed into the descending aorta in the antegrade manner through the open aortic arch, thereby potentially allowing for a 'single-sta...
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ورودعنوان ژورنال:
- Annals of cardiothoracic surgery
دوره 6 6 شماره
صفحات -
تاریخ انتشار 2017