The hybrid elephant trunk procedure: A single-stage repair of an ascending, arch, and descending thoracic aortic aneurysm

Abstract

Surgical repair of extensive aortic aneurysms requires a two-stage approach. We present the case of a single-stage repair using a hybrid procedure. This case demonstrates the technical feasibility of repairing properly selected extensive aortic aneurysms in a single procedure.

Surgery for Extensive Thoracic Aortic Aneurysm

“…There have been many reports describing surgical repair of ETAA by one stage [1][2][3][4] or staged repair [5][6][7][8], however, the optimal surgical strategy for ETAA remains unclear. Some patients also require concomitant treatment of coronary artery or heart valve disease, staged repair is likely to be performed to gain access to all parts of the thoracic aorta and cardiac structures.…”

“…The procedure potentially allowed the surgeon to avoid a second complex open procedure; however, the indication is limited to patients who meet certain anatomic criteria [8]. …”

“…Surgical modes of one stage [1][2][3][4] or staged repair [5][6][7][8] was determined based on the aneurysmal anatomy and comorbidity, however the patients' selection was still controversial. The purpose of the present study was to analyze surgical outcome for the ETAA comparing with these two strategies.…”

Surgical treatment of aortic aneurysm and aortic dissection: A retrospective analysis of 122 cases

“…In most situations, replacement of total-arch was the operation of choice for Debakey type Ⅰ aortic dissection, with a simultaneous use of stented-elephant trunk technique [2][3][4][5] . Open surgeries were performed in patients suffering from diseased descending aorta with involvement of important branches that entails re-implantation.…”

“…Since other operative techniques were well described, total arch replacements in combination with stented-elephant trunk technique [3][4][5] were detailed in this article. Patients were anesthetized under endotracheal general anesthesia.…”