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Interact Cardiovasc Thorac Surg · Dec 2008
Case ReportsEndovascular repair after stent elephant trunk procedure for extensive thoracic aortic aneurysm.
- Shang Dong Xu, Zhan Ming Fan, Yu Li, and Fang Jiong Huang.
- Division of Cardiac Surgery, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Vascular Diseases, Capital Medical University, Beijing, China. xushangdong@vip.sina.com
- Interact Cardiovasc Thorac Surg. 2008 Dec 1; 7 (6): 1189-90.
AbstractHybrid surgical-endovascular procedure was conducted in a 46-year-old male with extensive thoracic aortic aneurysm. Ascending aorta and arch replacement combined with stent elephant trunk implantation was performed first. An open stent-graft was implanted into the descending aorta. One month later, endovascular repair was conducted. Postoperative CTA showed total coverage of the descending aorta by stent-grafts and the descending aortic aneurysm was totally thrombo-excluded. Stent elephant trunk may be a better alternative to conventional elephant trunk in hybrid surgical-endovascular approaches in treatment of extensive thoracic aortic aneurysm.
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