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“V” aortoplasty of the proximal descending aorta in the elephant trunk procedure

Complex pathology of the aorta, especially in patients presenting an aneurysm involving the entire aortic arch and proximal descending aorta has been approached in one or two stages. Surgical management of those with an extremely wide diameter of the proximal descending aorta is not yet well defined...

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Autores principales: Kolesar, Adrian, Bily, Boris, Spak, Lubomir, Luczy, Jan, Artemiou, Panagiotis, Sabol, Frantisek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318449/
https://www.ncbi.nlm.nih.gov/pubmed/25637000
http://dx.doi.org/10.1186/s13019-015-0217-x
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author Kolesar, Adrian
Bily, Boris
Spak, Lubomir
Luczy, Jan
Artemiou, Panagiotis
Sabol, Frantisek
author_facet Kolesar, Adrian
Bily, Boris
Spak, Lubomir
Luczy, Jan
Artemiou, Panagiotis
Sabol, Frantisek
author_sort Kolesar, Adrian
collection PubMed
description Complex pathology of the aorta, especially in patients presenting an aneurysm involving the entire aortic arch and proximal descending aorta has been approached in one or two stages. Surgical management of those with an extremely wide diameter of the proximal descending aorta is not yet well defined. The patient in this case was an asymptomatic 47-year-old female with systemic lupus erythematosus (SLE) associated with aneurysm of the ascending aorta, whose aortic arch and descending aorta had presented only overall weakness (examination by inspection and palpation without histological verification). The imaging identified a giant aorta arising at the level of the sinotubular junction (STJ), ending up immediately below the diaphragm. In the first stage she underwent surgical replacement of the entire ascending aorta, aortic arch and proximal part of the descending aorta by combining the elephant trunk with a new type of aortoplasty. In the second stage an endovascular stent graft was inserted into the elephant trunk in the descending aorta. The patient continues to do well 20 months following the repair. In this manuscript type we describe a novel technique of “V” aortoplasty of the proximal descending aorta in order to facilitate the performing of anastomosis between the Dacron graft and aortic aneurysm.
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spelling pubmed-43184492015-02-06 “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure Kolesar, Adrian Bily, Boris Spak, Lubomir Luczy, Jan Artemiou, Panagiotis Sabol, Frantisek J Cardiothorac Surg Case Report Complex pathology of the aorta, especially in patients presenting an aneurysm involving the entire aortic arch and proximal descending aorta has been approached in one or two stages. Surgical management of those with an extremely wide diameter of the proximal descending aorta is not yet well defined. The patient in this case was an asymptomatic 47-year-old female with systemic lupus erythematosus (SLE) associated with aneurysm of the ascending aorta, whose aortic arch and descending aorta had presented only overall weakness (examination by inspection and palpation without histological verification). The imaging identified a giant aorta arising at the level of the sinotubular junction (STJ), ending up immediately below the diaphragm. In the first stage she underwent surgical replacement of the entire ascending aorta, aortic arch and proximal part of the descending aorta by combining the elephant trunk with a new type of aortoplasty. In the second stage an endovascular stent graft was inserted into the elephant trunk in the descending aorta. The patient continues to do well 20 months following the repair. In this manuscript type we describe a novel technique of “V” aortoplasty of the proximal descending aorta in order to facilitate the performing of anastomosis between the Dacron graft and aortic aneurysm. BioMed Central 2015-01-31 /pmc/articles/PMC4318449/ /pubmed/25637000 http://dx.doi.org/10.1186/s13019-015-0217-x Text en © Kolesar et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kolesar, Adrian
Bily, Boris
Spak, Lubomir
Luczy, Jan
Artemiou, Panagiotis
Sabol, Frantisek
“V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title_full “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title_fullStr “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title_full_unstemmed “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title_short “V” aortoplasty of the proximal descending aorta in the elephant trunk procedure
title_sort “v” aortoplasty of the proximal descending aorta in the elephant trunk procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318449/
https://www.ncbi.nlm.nih.gov/pubmed/25637000
http://dx.doi.org/10.1186/s13019-015-0217-x
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