Scope-Guided Implantation of a Stented Elephant Trunk in Acute Aortic Dissection

A reliable guide is essential for implanting a stented graft safely into a recently dissected, fragile aorta. In 4 patients with acute aortic dissection, the implantation of a stented elephant trunk was done safely using an endoscope for direct visualization. In all patients, the operation went well. The placement of a stent appears to enhance the benefit of the elephant trunk, which itself reduces the complications of an arch replacement in acute dissection.

Stent graft - Endoscope - Elephant trunk - Acute dissection

References

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