Total debranching thoracic endovascular aortic repair with elephant trunk insertion technique

Daisuke Arima; Yoshihiro Suematsu; Kanan Kurahashi; Hiroyuki Kaneko; Satoshi Nishi; Akihiro Yoshimoto

doi:10.1016/j.jvscit.2020.09.005

Total debranching thoracic endovascular aortic repair with elephant trunk insertion technique

J Vasc Surg Cases Innov Tech. 2020 Sep 23;6(4):626-628. doi: 10.1016/j.jvscit.2020.09.005. eCollection 2020 Dec.

Authors

Daisuke Arima¹, Yoshihiro Suematsu¹, Kanan Kurahashi¹, Hiroyuki Kaneko¹, Satoshi Nishi¹, Akihiro Yoshimoto¹

Affiliation

¹ Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan.

Abstract

We report successful total debranching thoracic endovascular aortic repair using the elephant trunk insertion technique without hypothermic circulatory arrest for a 56-year-old man who developed aortic arch dissection and ascending aortic aneurysm. In the first step, an elephant trunk graft was inserted into the ascending aorta under cardiopulmonary bypass, and a branched prosthetic graft was attached to the ascending aorta. The left common carotid artery and brachiocephalic artery were sequentially anastomosed to the branched graft. The second step was thoracic endovascular aortic repair covering the elephant trunk to the distal arch. Postprocedure digital subtraction angiography showed no endoleaks or false lumen.

Keywords: Aortic dissection; TEVAR; Zone 0.

Publication types

Case Reports