MODIFICATION OF THE ELEPHANT TRUNK PROCEDURE FOR TREATMENT OF ACUTE AORTIC DISSECTION

Authors
EMERY RW AROM KV NICOLOFF DM
Citation
Rw. Emery et al., MODIFICATION OF THE ELEPHANT TRUNK PROCEDURE FOR TREATMENT OF ACUTE AORTIC DISSECTION, Journal of cardiac surgery, 10(1), 1995, pp. 65-67
Citations number
NO
Categorie Soggetti
Cardiac & Cardiovascular System",Surgery
Journal title
Journal of cardiac surgery → ACNP
ISSN journal
08860440
Volume
10
Issue
1
Year of publication
1995
Pages
65 - 67
Database
ISI
SICI code
0886-0440(1995)10:1<65:MOTETP>2.0.ZU;2-2
Abstract
The distal anastomosis constructed during repair of an aortic dissecti on is prone to bleeding, reentry, and neodissection. To protect the he mostasis, a modification of Borst's elephant trunk procedure has been devised. This ''mini-trunk'' protects the anastomosis with an internal buttress using the crease of an infolded graft and with a short flap of graft everted into the distal lumen preventing access of the blood stream to this newly constructed suture line.