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  • Title: Successful total arch replacement with long elephant trunk for chronic aortic dissection (DeBakey IIIb).
    Author: Shudo Y, Taniguchi K, Matsue H, Takahashi T, Toda K, Hata H, Sawa Y.
    Journal: Ann Thorac Surg; 2007 Aug; 84(2):659-61. PubMed ID: 17643660.
    Abstract:
    A 68-year-old man presenting with abdominal distention was found on enhanced computed tomography to have a dilated ascending aorta and aortic dissection (DeBakey IIIb). Through a median sternotomy, we performed a total arch replacement using a four-branched Hemashield graft (Meadox Medical, Oakland, NJ) and a long elephant trunk anastomosis at the base of the innominate artery. Postoperatively, a pseudolumen of the descending aorta was effectively thrombo-excluded to the T12 level. Visceral blood flow was preserved, and the patient's postoperative course was uneventful.
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