Single-stage repair of arch aneurysms with a long elephant trunk: Medium-term follow-up of thromboexcluded aneurysms

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jtcvs.2007.02.030 Byline: Koichi Toda (a), Kazuhiro Taniguchi (a), Hiroki Hata (a), Yasuhiro Shudo (a), Hajime Matsue (b), Satoru Kuki (c), Yoshiki Sawa (b) Abbreviations: CT, computed tomography; LET, long elephant trunk; TAR, total arch replacement Abstract: The purpose of this study was to investigate the medium-term results of arch aneurysms repaired by total arch replacement with a long elephant trunk and to evaluate whether this technique requires a subsequent distal anastomosis at the descending aorta when complete aneurysmal thrombosis is achieved around a long elephant trunk. Author Affiliation: (a) Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan (b) Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan (c) Department of Cardiovascular Surgery, Takarazuka Municipal Hospital, Takarazuka, Japan. Article History: Received 21 November 2006; Revised 20 February 2007; Accepted 23 February 2007