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Marco Pocar
Pino Fundarò
Francesco Donatelli
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Ann Thorac Surg 2004;77:2199-2200
© 2004 The Society of Thoracic Surgeons

Case report

Simplified thoracic aortic aneurysm repair

Marco Pocar, MD, PhDa*, Pino Fundarò, MDa, Francesco Donatelli, MDa

a Cattedra e Divisione di Cardiochirurgia, Università degli Studi di Milano e IRCCS Ospedale Maggiore, Milan, Italy

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Pocar, Via Pompeo Litta, 2, 20122 Milan, Italy
e-mail: mpocar{at}milanocuore.org

Descending thoracic and thoracoabdominal aortic operations still represent a challenge for the cardiovascular surgeon. In recent years, endovascular stent grafting has become a popular alternative to a conventional operation in selected patients, but is not always readily available or is technically contraindicated; also, long-term results are unknown. We describe a simplified surgical technique to secure a standard vascular prosthesis by performing a modified "elephant trunk" operation and discuss potential indications for its application.






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