The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 47-52 , July 2007

Single-stage repair of arch aneurysms with a long elephant trunk: Medium-term follow-up of thromboexcluded aneurysms

  • Koichi Toda, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
    • Corresponding Author InformationAddress for reprints: Koichi Toda, MD, 1179-3, Nagasone-cho, Kita-ku, Sakai, Osaka, Japan.
  • ,
  • Kazuhiro Taniguchi, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
  • ,
  • Hiroki Hata, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
  • ,
  • Yasuhiro Shudo, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
  • ,
  • Hajime Matsue, MD

      Affiliations

    • Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan
  • ,
  • Satoru Kuki, MD

      Affiliations

    • Department of Cardiovascular Surgery, Takarazuka Municipal Hospital, Takarazuka, Japan.
  • ,
  • Yoshiki Sawa, MD

      Affiliations

    • Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan

Received 21 November 2006 ,Revised 20 February 2007 ,Accepted 23 February 2007.

  • Image Result

    Total arch replacement with a long elephant trunk anastomosed at the base of the innominate artery.

    Total arch replacement with a long elephant trunk anastomosed at the base of the innominate artery.

  • Image Result

    Contrast computed tomographic scans of the thromboexcluded (A) and nonthromboexcluded (C) arch aneurysms at 1 month after total arch replacement with a long elephant trunk. The thromboexcluded arch an

    Contrast computed tomographic scans of the thromboexcluded (A) and nonthromboexcluded (C) arch aneurysms at 1 month after total arch replacement with a long elephant trunk. The thromboexcluded arch aneurysm (A) showed shrinkage at 1 year after total arch replacement with a long elephant trunk (B).

  • Image Result
    Kaplan–Meier survival curves after total arch replacement with a long elephant trunk.

    Kaplan–Meier survival curves after total arch replacement with a long elephant trunk.

  • Image Result
    Percentage changes in the size of the thromboexcluded aneurysms at 6 months, 1 year, and 2 years after total arch replacement with a long elephant trunk.

    Percentage changes in the size of the thromboexcluded aneurysms at 6 months, 1 year, and 2 years after total arch replacement with a long elephant trunk.

PII: S0022-5223(07)00527-2

doi: 10.1016/j.jtcvs.2007.02.030

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 47-52 , July 2007