| Clot formation between the folded graft layers in the reversed elephant trunk technique at the second stage of total arch replacement. | |
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MedLine Citation:
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PMID: 17444168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We operated on a 77-year-old woman with extensive thoracic aortic aneurysm by staged repair using the reversed elephant trunk technique. First, we performed descending aortic replacement with a 28-mm straight Dacron graft through a left lateral thoracotomy. Considering the high possibility of a proximal operation in the near future, the 10-cm invaginated proximal end of the graft was anastomosed to the aorta to facilitate subsequent operation on the upstream aorta. After a year of follow-up, a second-stage total arch replacement was performed because the aortic arch aneurysm had enlarged. The reversed elephant trunk was withdrawn under deep hypothermic circulatory arrest. Fibrin clots had formed within the folded graft, which could cause postoperative thromboembolism. After cleaning the inner surface of the withdrawn graft, the proximal branched conduit was anastomosed to it to complete the total arch replacement. We review this case and discuss possible mechanisms of and solutions for this condition. |
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Authors:
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Mitsuaki Matsumoto; Kotaro Suehiro; Hiroshi Kubo |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: General thoracic and cardiovascular surgery Volume: 55 ISSN: 1863-6705 ISO Abbreviation: - Publication Date: 2007 Jan |
Date Detail:
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Created Date: 2007-04-20 Completed Date: 2007-08-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101303952 Medline TA: Gen Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 23-5 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Tsuyama Chuo Hospital, 1756 Kawasaki, Tsuyama, Okayama 708-0841, Japan. vivaldi@fa2.so-net.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anastomosis, Surgical Aneurysm, Dissecting / surgery Aortic Aneurysm, Abdominal / surgery* Aortic Aneurysm, Thoracic / surgery* Blood Vessel Prosthesis Implantation / adverse effects*, instrumentation Circulatory Arrest, Deep Hypothermia Induced Female Humans Reoperation Thoracotomy Thrombosis / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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