Elephant trunk procedure: newer indications and uses

The Annals of Thoracic Surgery
Lars G SvenssonDelos M Cosgrove

Abstract

The elephant trunk procedure is used for extensive aortic aneurysms. We evaluated its safety, newer indications, and influence of second-stage completion on survival. Records were reviewed for 94 consecutive patients (age 67 +/- 11 years, 47% men) who underwent the procedure between November 1990 and February 2003. The trunk was implanted as an extension of the ascending aorta and arch graft in 83 of 94 (88.3%) patients, distal arch graft in 8 of 94 (8.5%) patients, and in 3 distal to the left subclavian artery (3 of 94 patients [3.2%]). Aortic dissection was present in 37 (39.4%) patients and Marfan syndrome was present in 7 (7.4%). Twenty-three were reoperations (24.5%). In 9 patients, the trunk procedure was adjunctive in preparation for the second operation. In 15 patients, the anastomosis was completed between the left subclavian and common carotid arteries. Coronary artery bypass was performed in 36 (38.4%) and aortic valve operation in 55 (58.5%; 20 root sparing repairs, 16 composite grafts and 19 replacements) patients. There were two early 30-day in-hospital deaths (2.1%) and 5 permanent strokes (5.3%). Eleven died before the second-stage procedure. Forty-seven (57%) underwent second-stage procedures; 40 by thoracotomy...Continue Reading

References

Feb 1, 1983·The Thoracic and Cardiovascular Surgeon·H G BorstD Schaps
Oct 1, 1995·The Annals of Thoracic Surgery·J I FannD C Miller
Jul 1, 1995·The Annals of Thoracic Surgery·M K HeinemannH G Borst
Oct 1, 1994·The Annals of Thoracic Surgery·L G SvenssonA W Gray
Feb 5, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Marc A SchepensFreddy E Vermeulen
Jul 18, 2002·The Annals of Thoracic Surgery·Takeshi MiyairiShinichi Takamoto
Oct 7, 2004·The Annals of Thoracic Surgery·Lars G SvenssonDelos M Cosgrove

❮ Previous
Next ❯

Citations

Sep 10, 2011·Herz·K KallenbachM Karck
Sep 14, 2011·Herz·A M BooherE Bossone
Feb 28, 2006·Cardiovascular and Interventional Radiology·Miltiadis I MatsagasLampros K Michalis
Oct 12, 2012·General Thoracic and Cardiovascular Surgery·Naomichi Uchida
Jul 30, 2010·The Annals of Thoracic Surgery·Eric E RoselliBruce W Lytle
Mar 11, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Fabio IusMaximilian Pichlmaier
Jun 2, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Malakh ShresthaAxel Haverich
Mar 30, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nicholas T Kouchoukos
Feb 3, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hüseyin InceChristoph A Nienaber
Jul 17, 2008·Vascular Health and Risk Management·Ibrahim AkinHüseyin Ince
Jan 1, 2012·Annals of Vascular Diseases·Yuji KanaokaKenjiro Kaneko
Jul 23, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Malakh ShresthaAxel Haverich
Aug 15, 2013·General Thoracic and Cardiovascular Surgery·Yuji Miyamoto
Jul 1, 2007·Future Cardiology·Stephan KischeChristoph A Nienaber
Aug 31, 2013·The Journal of Thoracic and Cardiovascular Surgery·Jay IdreesEric E Roselli
Sep 10, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S LeontyevF W Mohr
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Marc A A M Schepens
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Maximilian A PichlmaierAxel Haverich
Jan 17, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Julia A Prescott-FochtSuhny Abbara
Apr 4, 2014·The Annals of Thoracic Surgery·Junewai L ReomaAdam W Beck
Jan 15, 2014·The Annals of Thoracic Surgery·Eric E RoselliJoseph F Sabik
Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Eric E RoselliBruce W Lytle
Sep 4, 2013·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T KouchoukosCatherine F Castner
Jul 3, 2013·The Annals of Thoracic Surgery·Lars G SvenssonBruce W Lytle
May 25, 2013·The Annals of Thoracic Surgery·Lars G SvenssonMathew R Williams
Mar 29, 2013·The Journal of Thoracic and Cardiovascular Surgery·Jay IdreesEric E Roselli
Feb 21, 2013·The Journal of Thoracic and Cardiovascular Surgery·Cherrie Z Abraham, Christos Lioupis
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Joseph BavariaAlberto Pochettino
Mar 31, 2012·The Annals of Thoracic Surgery·Joel S Corvera, John W Fehrenbacher
Jun 11, 2005·Journal of Vascular and Interventional Radiology : JVIR·Ajay ChavanAxel Haverich
Nov 5, 2011·The Annals of Thoracic Surgery·Davide PaciniRoberto Di Bartolomeo
Aug 30, 2011·The Annals of Thoracic Surgery·Alexander KulikNicholas T Kouchoukos
Mar 1, 2011·The Annals of Thoracic Surgery·Scott A LeMaireJoseph S Coselli
Feb 5, 2011·The Journal of Thoracic and Cardiovascular Surgery·Lars G SvenssonBruce W Lytle
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Nicholas T Kouchoukos
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Joseph BavariaAlberto Pochettino
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Roberto Di BartolomeoMarco Di Eusanio
Dec 7, 2010·Annals of Vascular Surgery·Jeffrey JimLuis A Sanchez
Jul 20, 2010·The American Journal of Emergency Medicine·William C WuDerek Linklater
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Wilson Y Szeto, Joseph E Bavaria
Nov 17, 2009·The Journal of Thoracic and Cardiovascular Surgery·Naomichi UchidaHiroshi Ishihara
Jun 30, 2009·The Annals of Thoracic Surgery·Koichi TodaUNKNOWN Osaka Cardiac Surgery Research (OSCAR) Group
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Tad KimThomas M Beaver
Dec 10, 2008·Seminars in Roentgenology·Cyrus J Parsa, G Chad Hughes

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

The Annals of Thoracic Surgery
Nicholas T KouchoukosCatherine F Castner
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Marc A SchepensFreddy E Vermeulen
The Thoracic and Cardiovascular Surgeon
H G BorstD Schaps
© 2022 Meta ULC. All rights reserved