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Semin Cardiothorac Vasc Anesth. 2016 Dec;20(4):322-326. Epub 2016 Jul 12.

Elephant Trunk: Argument for All Arches.

Author information

1
University of Texas Health Science Center at Houston, Houston, TX, USA.
2
University of Texas Health Science Center at Houston, Houston, TX, USA Anthony.L.Estrera@uth.tmc.edu.

Abstract

Background Since Borst and colleagues first applied the elephant trunk technique more than 30 years ago, it has become a standard method in approach for staged repair of an extensive thoracic aneurysm. While the original technique was cumbersome, a number of innovations have significantly improved the results over the past 3 decades. Conclusions Today, total arch replacement with elephant trunk provides simplified staged surgery but, nonetheless, remains a complex surgical procedure. Although many proximal aortic procedures may be addressed with ascending and partial transverse arch replacement, when total or complete transverse arch replacement is required, then the use of the elephant trunk technique, whether standard or frozen, should be considered.

KEYWORDS:

aortic arch; aortic disease; elephant trunk; frozen; staged repair

PMID:
27407138
DOI:
10.1177/1089253216659143
[Indexed for MEDLINE]

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