A 'mini-trunk' modification of the elephant trunk procedure is described to protect the distal anastomosis from bleeding and neodissection during acute aortic dissection repair.
May reduce distal anastomotic complications in acute aortic dissection; leaves open comparative efficacy versus standard techniques.
The distal anastomosis constructed during repair of an aortic dissection is prone to bleeding, reentry, and neodissection. To protect the hemostasis, a modification of Borst's elephant trunk procedure has been devised. This "mini-trunk" protects the anastomosis with an internal buttress using the crease of an infolded graft and with a short flap of graft everted into the distal lumen preventing access of the blood stream to this newly constructed suture line.
No takes yet. Share an insight, caveat, or question.
Emery et al. (1995) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: