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Step‐by‐step aortic clamping technique for safe retrieval of the elephant trunk
Author(s) -
Kobayashi Kimihiro,
Kuroda Yoshinori,
Hayashi Jun,
Mizumoto Masahiro,
Yamashita Atsushi,
Ohba Eiichi,
Nakai Shingo,
Ochiai Tomonori,
Uchida Tetsuro
Publication year - 2021
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/jocs.15879
Subject(s) - elephant trunks , medicine , descending aorta , trunk , aorta , aortic arch , clamping , aortic aneurysm , surgery , computer science , biology , ecology , computer vision
Abstract Staged repair of the aortic arch and downstream aorta using the elephant trunk technique is widely accepted for extensive aortic disease. However, elephant trunk retrieval is challenging in patients with unclampable descending aorta caused by extreme aneurysmal dilation or surrounding tissue adhesion. Here, we introduce a new elephant trunk retrieval technique using the step‐by‐step aortic clamping in descending aortic replacement of dissecting aortic aneurysm. This technique is a safe and feasible method of elephant trunk retrieval that consists of staged clamping and intraoperative ultrasound assessment of blood flow in the aorta.