Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk
The two-stage elephant trunk (ET) and thoracic endovascular aortic repair technique for type A and B aortic dissection can result in complications between the two stages. We have presented the case of a patient with an acute-on-chronic type B aortic dissection complicated by ET kinking and migration...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000047 |
| _version_ | 1797860162149548032 |
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| author | Soraya Fereydooni, BS Andrea Amabile, MD Naiem Nassiri, MD Prashanth Vallabhajosyula, MD, MS |
| author_facet | Soraya Fereydooni, BS Andrea Amabile, MD Naiem Nassiri, MD Prashanth Vallabhajosyula, MD, MS |
| author_sort | Soraya Fereydooni, BS |
| collection | DOAJ |
| description | The two-stage elephant trunk (ET) and thoracic endovascular aortic repair technique for type A and B aortic dissection can result in complications between the two stages. We have presented the case of a patient with an acute-on-chronic type B aortic dissection complicated by ET kinking and migration into the false lumen. We used a hybrid approach consisting of a first stage (retrograde thoracic endovascular aortic repair) and a second stage (“body floss” with antegrade thoracic endovascular aortic repair) to successfully reposition the ET back into the true lumen. |
| first_indexed | 2024-04-09T21:42:10Z |
| format | Article |
| id | doaj.art-82b0dfdf5eee4cf09783f5bb9e16e3b5 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-09T21:42:10Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-82b0dfdf5eee4cf09783f5bb9e16e3b52023-03-26T05:17:55ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-03-0191101095Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunkSoraya Fereydooni, BS0Andrea Amabile, MD1Naiem Nassiri, MD2Prashanth Vallabhajosyula, MD, MS3Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT; Correspondence: Soraya Fereydooni, BS, Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, 333 Cedar St, New Haven, CT 06510Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, CTDivision of Vascular and Endovascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT; The Aortic Institute at Yale-New Haven Hospital, New Haven, CTDivision of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT; The Aortic Institute at Yale-New Haven Hospital, New Haven, CTThe two-stage elephant trunk (ET) and thoracic endovascular aortic repair technique for type A and B aortic dissection can result in complications between the two stages. We have presented the case of a patient with an acute-on-chronic type B aortic dissection complicated by ET kinking and migration into the false lumen. We used a hybrid approach consisting of a first stage (retrograde thoracic endovascular aortic repair) and a second stage (“body floss” with antegrade thoracic endovascular aortic repair) to successfully reposition the ET back into the true lumen.http://www.sciencedirect.com/science/article/pii/S2468428723000047Ascending aortofemoral through-and-through wire techniqueBody flossFalse lumen graft deploymentHybrid prosthesisKinked elephant trunk |
| spellingShingle | Soraya Fereydooni, BS Andrea Amabile, MD Naiem Nassiri, MD Prashanth Vallabhajosyula, MD, MS Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk Journal of Vascular Surgery Cases and Innovative Techniques Ascending aortofemoral through-and-through wire technique Body floss False lumen graft deployment Hybrid prosthesis Kinked elephant trunk |
| title | Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| title_full | Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| title_fullStr | Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| title_full_unstemmed | Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| title_short | Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| title_sort | trans sternotomy snare assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk |
| topic | Ascending aortofemoral through-and-through wire technique Body floss False lumen graft deployment Hybrid prosthesis Kinked elephant trunk |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723000047 |
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