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Ann Thorac Surg 2001;71:705-707
© 2001 The Society of Thoracic Surgeons

Case report

Stented elephant trunk method for multiple thoracic aneurysms

Shinji Miyamoto, MDa, Tetsuo Hadama, MDa, Hirofumi Anai, MDa, Hidenori Sako, MDa, Osamu Shigemitsu, MDa

a Department of Cardiovascular Surgery, Oita Medical University, Oita, Japan

Accepted for publication May 2, 2000.

Address reprint requests to Dr Miyamoto, Department of Cardiovascular Surgery, Oita Medical University, Hasama-machi, Oita 879-5593, Japan
e-mail: smiyamot{at}oita-med.ac.jp

Stent-grafting and open graft replacement was introduced to reduce the complications of suture anastomosis in the descending aorta. We applied this technique in the treatment of a patient with multiple thoracic aneurysms. The elephant trunk procedure was used for thromboexclusion. A single branched graft was placed easily without twisting. In patients with aneurysms at both the proximal and distal thoracic aorta, combined stent-grafting and open graft replacement is an excellent approach.




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