The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 4 , Pages 892-896 , October 2009

Is total arch replacement combined with stented elephant trunk implantation justified for patients with chronic Stanford type A aortic dissection?

  • Li-Zhong Sun, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • Li-Zhong Sun and Rui-Dong Qi contributed equally to this work.
    • Corresponding Author InformationAddress for reprints: Li-Zhong Sun, MD, Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, 167 Beilishi Rd, Beijing, 100037, China.
    • ,
  • Rui-Dong Qi, MD

      Affiliations

    • Department of Cardiovascular Surgery, Tianjin Cardiovascular Institute and Tianjin Chest Hospital, Tianjin, China
    • Li-Zhong Sun and Rui-Dong Qi contributed equally to this work.
    • ,
  • Qian Chang, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Jun-Ming Zhu, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Yong-Min Liu, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Chun-Tao Yu, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Bin Lv, MD

      Affiliations

    • Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Jun Zheng, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Liang-Xin Tian, MD

      Affiliations

    • Department of Cardiovascular Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
    • ,
  • Jin-Guo Lu, MD

      Affiliations

    • Department of Radiology, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China

Received 14 October 2008 ,Revised 9 February 2009 ,Accepted 22 February 2009.

References 

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  2. Heinemann M, Laas J, Karck M, Borst HG. Thoracic aortic aneurysms after acute type A aortic dissection: necessity for follow-up. Ann Thorac Surg. 1990;49:580–584
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  8. Liu ZG, Sun LZ, Chang Q, Zhu JM, Dong C, Yu CT, et al. Should the “elephant trunk” be skeletonized? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection. J Thorac Cardiovasc Surg. 2006;131:107–113
  9. Sun LZ, Qi RD, Chang Q, Zhu JM, Liu YM, Yu CT, et al. Surgery for Marfan patients with acute type A dissection using a stented elephant trunk procedure. Ann Thorac Surg. 2008;86:1821–1826
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  14. Kazui T, Tamiya Y, Tanaka T, Komatsu S. Extended aortic replacement for acute type A dissection with the tear in the descending aorta. J Thorac Cardiovasc Surg. 1996;112:973–978
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  16. Flores J, Kunihara T, Shiiya N, Yoshimoto K, Matsuzaki K, Yasuda K. Extensive deployment of the stented elephant trunk is associated with an increased risk of spinal cord injury. J Thorac Cardiovasc Surg. 2006;131:336–342

PII: S0022-5223(09)00360-2

doi: 10.1016/j.jtcvs.2009.02.041

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 4 , Pages 892-896 , October 2009

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