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Scope-guided implantation of a stented elephant trunk in acute aortic dissection.
Authors:N Tabuchi  T Mizuno  M Toyama  M Sunamori
Affiliation:Tokyo Medical and Dental University, Department of Cardiopulmonary Surgery, Japan. n-tabu.tsrg@tmd.ac.jp
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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