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Modification of the Elephant Trunk Procedure for Treatment of Acute Aortic Dissection
Author(s) -
Emery Robert W.,
Arom Kit V.,
Nicoloff Demetre M.
Publication year - 1995
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1995.tb00593.x
Subject(s) - medicine , elephant trunks , aortic dissection , trunk , endovascular treatment , dissection (medical) , surgery , aorta , aneurysm , ecology , biology
A bstract The distal anastomosis constructed during repair of an aortic dissection is prone to bleeding, reentry, and neodissection. To protect the hemostasis, a modification of Borst's elephant trunk procedure has been devised. This “mini‐trunk” protects the anastomosis with an internal buttress using the crease of an infolded graft and with a short flap of graft everted into the distal lumen preventing access of the blood stream to this newly constructed suture line.