Abstract
in which the dead space around the long elephant trunk was filled with clot and further operation was not needed. 2 The authors highlighted this phenomenon as a further potential use of this technique. Crawford and associates 3 reported complications of this method: kinking and occlusion of the graft, paraplegia as a result of clot around the graft, and peripheral thromboembolism caused by flapping action. They stated that these complications were more likely when the trunk was longer. To avoid these potential complications of a long elephant trunk graft, we used a stent at the distal end to fix the graft to the native aortic wall. By this method, we could prevent any kinking and flapping action of the graft. In addition, we can expect complete obliteration of the dead space around the graft even if there are patent intercostal arteries, because the hemodynamic conditions Fig. 2. Angiograms before (left) and after (right) operation. Arrowheads indicate the location of the stent.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The Journal of Thoracic and Cardiovascular Surgery
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
