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Aortic Arch Aneurysm Repair using a Prosthetic Graft with a Pre-mounted Distal Stent (Frozen Elephant Trunk)  

Chang, Hyoung-Woo (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Chung, Eui-Suk (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Choi, Jin-Ho (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Lim, Cheong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Park, Kay-Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.42, no.3, 2009 , pp. 375-379 More about this Journal
Abstract
Difficulty in exposing anastomotic sites is a frequently encountered problem during surgical repair of a distal aortic arch aneurysm via median sternotomy or lateral thoracotomy. Endovascular repair has th limitation that it usually requires surgical rerouting of some of the brachiocephalic branches in order to get sufficient length for proximal fixation of the stent-graft. To take advantage of each approach, we fixed the distal end of the prosthetic graft by means of a pre-mounted metallic stent instead of performing conventional surgical anastomosis during the repair of distal arch aneurysms with using median sternotomy and hypothermic circulatory arrest. We report here on our experience with such 3 patients.
Keywords
Aorta, arch; Aorta, surgery; Stents;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Jakob H, Tsagakis K, Tossios P, et al. Combining classic surgery with descending stent grafting for acute debakey type I dissection. Ann Thorac Surg 2008;86:95-102   DOI   ScienceOn
2 Cho KJ, Bang JH, Woo JS, et al. A case of total aortic arch replacement with root plasty with right coronary artery bypass and distal open stent-graft insertion in acute type I aortic dissection. Korean J Thorac Cardiovasc Surg 2005;38:434-7
3 Usui A, Fujimoto K, Ishiguchi T, et al. Cerebrospinal dysfunction after endovascular stent-grafting via a median sternotomy: the frozen elephant trunk procedure. Ann Thorac Surg 2002;74:S1821-4   DOI   ScienceOn
4 Spielvogel D, Lansman SL, Griepp RB. Aortic arch replacement/Selective antegrade perfusion. Operative Techniques in Thoracic and Cardiovascular Surgery 2005;10:23-44   DOI   ScienceOn
5 Czerny M, Gottardi R, Zimpfer D, et al. Transposition of supraaortic branches for extended endovascular arch repair. Eur J Cardiothorac Surg 2006;29:709-13   DOI   ScienceOn
6 Usui A, Ueda Y, Watanabe T, et al. Comparative clinical study between endovascular stent grafting on open surgery and conventional graft replacement for distal arch aneurysm. J Artificial Organ 2001;4:283-7   DOI   ScienceOn
7 Gorlitzer M, Weiss G, Thalmann M, et al. Combined surgical and endovascular repair of complex aortic pathologies with a new hybrid prosthesis. Ann Thorac Surg 2007;84:1971-7   DOI   ScienceOn
8 Usui A, Ueda Y, Watanabe T, et al. Clinical results of implantation of an endovascular covered stent-graft via mid-sternotomy for distal aortic arch aneurysm. Cardiovasc Surg 2000;7:545-9   DOI   ScienceOn