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Thoracic Aortic Diseases pp 125–131Cite as

The New Wave of Elephant Trunk Technique

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References

  1. Ando M, Takamoto S, Okita Y, Morota T, Matsukawa R, Kitamura S (1998) Elephant trunk procedure for surgical treatment of aortic dissection. Ann Thorac Surg 66(1):82–87.

    PubMed  CAS  CrossRef  Google Scholar 

  2. Bachet J, Guilmet D, Goudot B, Dreyfus GD, Delentdecker P, Brodaty D, Dubois C (1999) Antegrade cerebral perfusion with cold blood: a 13-year experience. Ann Thorac Surg 67(6):1874–1878; discussion 1891–1874.

    PubMed  CAS  CrossRef  Google Scholar 

  3. Borst HG (1999) The elephant trunk operation in complex aortic disease. Curr Opin Cardiol 14(5):427–431.

    PubMed  CAS  CrossRef  Google Scholar 

  4. Borst HG, Walterbusch G, Schaps D (1983) Extensive aortic replacement using “elephant trunk” prosthesis. Thorac Cardiovasc Surg 31(l):37–40.

    PubMed  CAS  CrossRef  Google Scholar 

  5. Carrel T, Althaus U (1997) Extension of the “elephant trunk” technique in complex aortic pathology: the “bidirectional” option. Ann Thorac Surg 63(6):1755–1758.

    PubMed  CAS  CrossRef  Google Scholar 

  6. Carrel T, Berdat P, Kipfer B, Eckstein F, Schmidli J (2001) The reversed and bidirectional elephant trunk technique in the treatment of complex aortic aneurysms. J Thorac Cardiovasc Surg 122(3):587–591.

    PubMed  CAS  CrossRef  Google Scholar 

  7. Chavan A, Lotz J, Oelert F, Galanski M, Haverich A, Karck M (2003) Endoluminal treatment of aortic dissection. Eur Radiol 13(11):2521–2534. Epub 2003 Jun 2517.

    PubMed  CrossRef  Google Scholar 

  8. Coselli JS, Oberwalder P (1998) Successful repair of mega aorta using reversed elephant trunk procedure. J Vase Surg 27(1):183–188.

    CAS  CrossRef  Google Scholar 

  9. Coselli JS, Buket S, Djukanovic B (1995) Aortic arch operation: current treatment and results. Ann Thorac Surg 59(l):19–26; discussion 26–17.

    PubMed  CAS  CrossRef  Google Scholar 

  10. Crawford ES, Coselli JS, Svensson LG, Safi HJ, Hess KR (1990) Diffuse aneurysmal disease (chronic aortic dissection, Marfan, and mega aorta syndromes) and multiple aneurysm. Treatment by subtotal and total aortic replacement emphasizing the elephant trunk operation. Ann Surg 211(5):521–537.

    PubMed  CAS  Google Scholar 

  11. Dake MD, Miller DC, Mitchell RS, Semba CP, Moore KA, Sakai T (1998) The “first generation” of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta. J Thorac Cardiovasc Surg 116(5):689–703; discussion 703–684.

    PubMed  CAS  CrossRef  Google Scholar 

  12. Estrera AL, Miller CC, 3rd, Porat EE, Huynh TT, Winnerkvist A, Safi HJ (2002) Staged repair of extensive aortic aneurysms. Ann Thorac Surg 74(5):S1803–1805; discussion S1825–1832.

    PubMed  CrossRef  Google Scholar 

  13. Griepp RB (2001) Cerebral protection during aortic arch surgery. J Thorac Cardiovasc Surg 121(3):425–427.

    PubMed  CAS  CrossRef  Google Scholar 

  14. Heinemann M, Laas J, Karck M, Borst HG (1990) Thoracic aortic aneurysms after acute type A aortic dissection: necessity for follow-up. Ann Thorac Surg 49(4):580–584.

    PubMed  CAS  CrossRef  Google Scholar 

  15. Ishihara H, Uchida N, Yamasaki C, Sakashita M, Kanou M (2002) Extensive primary repair of the thoracic aorta in Stanford type A acute aortic dissection by means of a synthetic vascular graft with a self-expandable stent. J Thorac Cardiovasc Surg 123(6):1035–1040.

    PubMed  CrossRef  Google Scholar 

  16. Kato M, Kuratani T, Kaneko M, Kyo S, Ohnishi K (2002) The results of total arch graft implantation with open stent-graft placement for type A aortic dissection. J Thorac Cardiovasc Surg 124(3):531–540.

    PubMed  CrossRef  Google Scholar 

  17. Kouchoukos NT, Masetti P, Rokkas CK, Murphy SF (2001) Single-stage reoperative repair of chronic type A aortic dissection by means of the arch-first technique. J Thorac Cardiovasc Surg 122(3):578–582.

    PubMed  CAS  CrossRef  Google Scholar 

  18. Kuki S, Taniguchi K, Masai T, Yokota T, Yoshida K, Yamamoto K, Matsuda H (2002) An alternative approach using long elephant trunk for extensive aortic aneurysm: elephant trunk anastomosis at the base of the innominate artery. Circulation 106(12 Suppl l):I253–258.

    PubMed  Google Scholar 

  19. Massimo CG, Presenti LF, Favi PP, Crisci C, Cruz Guadron EA (1993) Simultaneous total aortic replacement from valve to bifurcation: experience with 21 cases. Ann Thorac Surg 56(5):1110–1116.

    PubMed  CAS  CrossRef  Google Scholar 

  20. Minale C, Splittgerber FH, Wendt G, Messmer BJ (1994) One-stage intrathoracic repair of extended aortic aneurysms. J Card Surg 9(5):604–613.

    PubMed  CAS  Google Scholar 

  21. Mizuno T, Toyama M, Tabuchi N, Wu H, Sunamori M (2002) Stented elephant trunk procedure combined with ascending aorta and arch replacement for acute type A aortic dissection. Eur J Cardiothorac Surg 22(4):504–509.

    PubMed  CrossRef  Google Scholar 

  22. Orihashi K, Sueda T, Watari M, Okada K, Ishii O, Matsuura Y (2001) Endovascular stent-grafting via the aortic arch for distal aortic arch aneurysm: an alternative to endovascular stent-grafting. Eur J Cardiothorac Surg 20(5):973–978.

    PubMed  CAS  CrossRef  Google Scholar 

  23. Palma JH, Almeida DR, Carvalho AC, Andrade JC, Buffolo E (1997) Surgical treatment of acute type B aortic dissection using an endoprosthesis (elephant trunk). Ann Thorac Surg 63(4):1081–1084.

    PubMed  CAS  CrossRef  Google Scholar 

  24. Palma JH, Carvalho AC, Buffolo E, Almeida DR, Gomes WJ, Brasil LA (1998) Endoscopic placement of stents in aneurysms of the descending thoracic aorta. Ann Thorac Surg 66(l):256–258.

    PubMed  CAS  CrossRef  Google Scholar 

  25. Palma JH, de Souza JA, Rodrigues Alves CM, Carvalho AC, Buffolo E (2002) Self-expandable aortic stent-grafts for treatment of descending aortic dissections. Ann Thorac Surg 73(4):1138–1141; discussion 1141–1132.

    PubMed  CrossRef  Google Scholar 

  26. Safi HJ, Miller CC 3rd, Iliopoulos DC, Letsou GV, Baldwin JC (1997) Staged repair of extensive aortic aneurysm: improved neurologic outcome. Ann Surg 226(5):599–605.

    PubMed  CAS  CrossRef  Google Scholar 

  27. Saitoh H, Ezure M, Takeshita M, Mizuno A (1993) [Surgical treatment for impending rupture of distal aortic arch aneurysm: a case report using “elephant trunk” prosthesis]. Kyobu Geka 46(12):1044–1047.

    PubMed  CAS  Google Scholar 

  28. Sasaguri S, Fukuda T (1998) Is the elephant trunk technique really necessary for extensive arch aneurysm? Ann Thorac Surg 65(5):1512–1513.

    PubMed  CAS  Google Scholar 

  29. Schepens MA, Dossche KM, Morshuis WJ, van den Barselaar PJ, Heijmen RH, Vermeulen FE (2002) The elephant trunk technique: operative results in 100 consecutive patients. Eur J Cardiothorac Surg 21(2):276–281.

    PubMed  CrossRef  Google Scholar 

  30. Suto Y, Yasuda K, Shiiya N, Murashita T, Kawasaki M, Imamura M, Takigami K, Sasaki S, Matsui Y, Sakuma M (1996) Stented elephant trunk procedure for an extensive aneurysm involving distal aortic arch and descending aorta. J Thorac Cardiovasc Surg 112(5):1389–1390.

    PubMed  CAS  CrossRef  Google Scholar 

  31. Svensson LG (1992) Rationale and technique for replacement of the ascending aorta, arch, and distal aorta using a modified elephant trunk procedure. J Card Surg 7(4):301–312.

    PubMed  CAS  Google Scholar 

  32. Svensson LG, Kaushik SD, Marinko E (2001) Elephant trunk anastomosis between left carotid and subclavian arteries for aneurysmal distal aortic arch. Ann Thorac Surg 71(3):1050–1052.

    PubMed  CAS  CrossRef  Google Scholar 

  33. Usui A, Tajima K, Nishikimi N, Ishiguchi T (1999) Implantation of an endovascular covered stent-graft for distal aortic arch aneurysm via midsternotomy under pigtail catheter guidance. Eur J Cardiothorac Surg 16(3):356–358.

    PubMed  CAS  CrossRef  Google Scholar 

  34. Usui A, Fujimoto K, Ishiguchi T, Yoshikawa M, Akita T, Ueda Y (2002) Cerebrospinal dysfunction after endovascular stent-grafting via a median sternotomy: the frozen elephant trunk procedure. Ann Thorac Surg 74(5):S1821–1824; discussion S1825–1832.

    PubMed  CrossRef  Google Scholar 

  35. Westaby S, Katsumata T (1998) Proximal aortic perfusion for complex arch and descending aortic disease. J Thorac Cardiovasc Surg 115(1):162–167.

    PubMed  CAS  CrossRef  Google Scholar 

  36. Won JY, Lee DY, Shim WH, Chang BC, Park SI, Yoon CS, Kwon HM, Park BH, Jung GS (2001) Elective endovascular treatment of descending thoracic aortic aneurysms and chronic dissections with stent-grafts. J Vase Interv Radiol 12(5):575–582.

    CAS  Google Scholar 

  37. Yamazaki I, Imoto K, Suzuki S, Ichikawa Y, Karube N, Manabe T, Noishiki Y, Kondo J, Takanashi Y (2001) Midterm results of stent-graft repair for thoracic aortic aneurysms: computed tomographic evaluation. Artif Organs 25(3):223–227.

    PubMed  CAS  CrossRef  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany

    Matthias Karck & Nawid Khaladj

Authors
  1. Matthias Karck
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  2. Nawid Khaladj
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Editor information

Editors and Affiliations

  1. Department of Radiology, Rangueil University Hospital, 1 av J. Poulhes — TSA 50032, 31059, Toulouse CEDEX 9, France

    Hervé Rousseau

  2. Cardiovascular and Thoracic Surgery Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-Philippe Verhoye

  3. Radiology and Medical Imaging Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-François Heautot

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© 2006 Springer-Verlag Berlin Heidelberg

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Karck, M., Khaladj, N. (2006). The New Wave of Elephant Trunk Technique. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_11

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  • DOI: https://doi.org/10.1007/3-540-38309-3_11

  • Publisher Name: Springer, Berlin, Heidelberg

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