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Published in: Journal of Cardiothoracic Surgery 1/2013

Open Access 01-12-2013 | Case report

Arch translocation and the intra-arch elephant-trunk technique with collared graft for extended chronic dissecting aortic aneurysm

Authors: Shigeru Ikenaga, Akihito Mikamo, Tomoaki Kudo, Hiroshi Kurazumi, Ryo Suzuki, Kimikazu Hamano

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

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Abstract

Management of extensive, chronic, dissecting aortic aneurysms after prior repair of the ascending aorta presents a technical challenge for surgeons. A symptomatic 64-year-old patient was admitted for elective surgical repair of an aortic annular dilatation, causing severe aortic regurgitation, and a Crawford type II extended thoracoabdominal aneurysm, 4 years after he underwent primary repair of an acute aortic dissection. The aorta was diffusely dilated, and there were no sites beyond the distal aortic arch where anastomosis could be performed. We successfully performed total aortic replacement with a 2-stage strategy, using an arch translocation technique and an intra-arch elephant-trunk technique.
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Metadata
Title
Arch translocation and the intra-arch elephant-trunk technique with collared graft for extended chronic dissecting aortic aneurysm
Authors
Shigeru Ikenaga
Akihito Mikamo
Tomoaki Kudo
Hiroshi Kurazumi
Ryo Suzuki
Kimikazu Hamano
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-8-23

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