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CC BY 4.0 · Aorta (Stamford) 2013; 01(06): 286-288
DOI: 10.12945/j.aorta.2013.13-064
How I Do It
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Finger-Thumb Technique for Elephant Trunk Retrieval

Bulat A. Ziganshin
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
,
John A. Elefteriades
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
› Author Affiliations
Further Information

Publication History

01 December 2013

17 December 2013

Publication Date:
28 September 2018 (online)

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Abstract

In this report we present a brief video illustrating the “Finger-Thumb Technique” that we have used extensively at our institution for elephant trunk retrieval during second stage elephant trunk procedures. Although only safe in experienced hands, this technique is a viable option in the arsenal of a cardiothoracic surgeon, especially in cases when proximally surrounding a massively enlarged aorta is unappealing.

Key Words

Descending aorta - Thoracic aortic aneurysm - Surgical treatment - Stage II elephant trunk procedure
 

  • References

  • 1 Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis. Thorac Cardiovasc Surg 1983; 31: 37-40 . 10.1055/s-2007-1020290
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Crawford ES, Coselli JS, Svensson LG, Safi HJ, Hess KR. Diffuse aneurysmal disease (chronic aortic dissection, Marfan, and mega aorta syndromes) and multiple aneurysm. Treatment by subtotal and total aortic replacement emphasizing the elephant trunk operation. Ann Surg 1990; 211: 521-537 . 10.1097/00000658-199005000-00002
    CrossrefPubMedSearch in Google Scholar
  • 3 Svensson LG. Rationale and technique for replacement of the ascending aorta, arch, and distal aorta using a modified elephant trunk procedure. J Cardiac Surg 1992; 7: 301-312 . 10.1111/j.1540-8191.1992.tb01020.x
    CrossrefPubMedSearch in Google Scholar
  • 4 Plaschke K, Bockler D, Schumacher H, Martin E, Bardenheuer HJ. Adenosine-induced cardiac arrest and EEG changes in patients with thoracic aorta endovascular repair. Br J Anaesth 2006; 96: 310-316 . 10.1093/bja/ael002
    CrossrefPubMedSearch in Google Scholar
  • 5 El-Menyar A, Gehani A. Adenosine-induced tachyarrhythmia and cardiac arrest. Future Cardiol 2010; 6: 433-436 . 10.2217/fca.10.66
    CrossrefPubMedSearch in Google Scholar