Document Detail

Rapid expansion of another downstream aortic aneurysm with the elephant trunk.
MedLine Citation:
PMID:  21170628     Owner:  NLM     Status:  In-Process    
A 75-year-old man developed persistent dysphagia 2 months after successful total arch replacement with a long elephant trunk (ET) for a distal arch aneurysm. Enhanced computed tomography revealed not only complete thrombosis of the distal arch aneurysm, but also rapid expansion of another downstream aortic aneurysm with esophageal compression. Thoracic endovascular aortic repair was undertaken for this symptomatic aortic aneurysm, which was totally thrombo-excluded. ET might produce turbulent or jet-like blood flow from its tip in some situations and have a potential to accelerate the expansion of the downstream aneurysm. Additional endovascular ET completion is simple, effective, and less invasive.
Takuya Higuchi; Toshiki Takahashi; Toru Ishizaka; Daisuke Yoshioka; Yukitoshi Shirakawa; Toru Kuratani; Yoshiki Sawa
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Publication Detail:
Type:  Journal Article     Date:  2010-12-18
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  617-9     Citation Subset:  IM    
Department of Cardiovascular Surgery, National Hospital Organization Osaka Medical Center, 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka, Japan.
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