Scope-guided implantation of a stented elephant trunk in acute aortic dissection. |
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| Authors: | N Tabuchi T Mizuno M Toyama M Sunamori |
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| Institution: | Tokyo Medical and Dental University, Department of Cardiopulmonary Surgery, Japan. n-tabu.tsrg@tmd.ac.jp |
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| Abstract: | A reliable guide is essential for implanting a stented graft safely into a recently dissected, fragile aorta. In 4 patients with acute aortic dissection, the implantation of a stented elephant trunk was done safely using an endoscope for direct visualization. In all patients, the operation went well. The placement of a stent appears to enhance the benefit of the elephant trunk, which itself reduces the complications of an arch replacement in acute dissection. |
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