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The elephant trunk procedure: uses in complex aortic diseases

Svensson, Lars G

Current Opinion in Cardiology:
Diseases of the aorta, pulmonary and peripheral vessels
Abstract

Purpose of review: The elephant trunk procedure is used for extensive aneurysms involving both the ascending aorta/aortic arch and the descending thoracic or thoracoabdominal aorta.

Recent findings: This is a high-risk staged procedure; however, with current techniques in our most recent series the survival rate was 98% for the first operation and 92% for the second.

Summary: With the more liberal use of hybrid procedures and endovascular stenting for the second stage of the elephant trunk procedure, the operation can be used more often in patients with severe comorbid disease, particularly respiratory problems.

Author Information

Center for Aortic Surgery, Marfan and Connective Tissue Disorder Clinic, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Correspondence to Lars G Svensson, MD, PhD, Director, Center for Aortic Surgery, Marfan and Connective Tissue Disorder Clinic, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation/F24, 9500 Euclid Avenue, Cleveland, OH 44195, USA

Tel: 216 445 4813; fax: 216 445 3272; e-mail: svenssl@ccf.org

© 2005 Lippincott Williams & Wilkins, Inc.