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Original Articles: Adult Cardiac

Invited Commentary

Department of Cardiothoracic Surgery, Yale University School of Medicine, 330 Cedar St, FMB 128, New Haven, CT 06510

(Email: arousou@hotmail.com).

The first 20% of the full text of this article appears below.

Dr Toda and colleagues present an interesting, but complicated, surgical approach for thoracic aortic aneurysmal disease [1]. They describe performing an aortic replacement using a four-branched graft beginning from the sinotubular junction to the mid-distal descending aorta with a single stage, using a long elephant trunk. There are several points I would like to make regarding this article. The first pertains to patient selection for this procedure. It would seem that only those patients with aortic arch disease extending to the distal descending aorta would require a "long elephant trunk" (LET). . . . [Full Text of this Article]

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Ann. Thorac. Surg. 2009 88: 16-22. [Abstract] [Full Text] [PDF]