Transbrachial endoclamping of the graft for descending aortic aneurysm after the elephant trunk procedure.

Colak, Necmettin; Nazli, Yunus; Kirbas, Ismail; Cakir, Omer · Ann Thorac Surg · 2012

case_report · Level V

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Abstract

Patients who have undergone the elephant trunk procedure because of aortic dissection may subsequently present with a descending aortic aneurysm. We describe the technique of "endograft aortic control by inflating a compliant aortic occlusion balloon," in which a balloon is placed in the proximal descending aortic graft without cross-clamping to avert problems of hemorrhage at the second stage of the elephant trunk procedure.

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