Two successful cases of staged replacement of multiple aneurysms of the thoracic aorta using the ‘elephant trunk’ technique are described. The management of both cases is discussed.
BorstHGFrankGSchapsD. Treatment of extensive aortic aneurysm by a new multiple-stage approach. J Thorac Cardiovasc Surg1988; 95: 11–13.
2.
CrawfordESCoselliJSSvennssonLGSafiHJHessKR. Diffuse aneurysmal disease (chronic aortic dissection, Marfan, and mega-aorta syndromes) and multiple aneurysms. Treatment by subtotal and total aortic replacement. Emphasizing the elephant trunk operation. Ann Surg1990; 211: 52–37.
3.
GrieppRBStinsonEBHollingsworthJFBuehlerD. Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg1975; 70: 1051–63.
4.
ErginMAGrieppRB. Progress in treatment of the aortic arch. World J Surg1978; 4: 535–45.
5.
LivesayJJCooleyDAReulGJ. Resection of aortic arch aneurysms: a comparison of hypothermic techniques in 60 patients. Ann Thorac Surg1983; 36: 19–28.
6.
CoselliJSCrawfordESBeallACMizrahiEMHessKRPatelVM. Determination of brain temperatures for safe circulatory arrest during cardiovascular operation. Ann Thorac Surg1988; 45: 638–42.
7.
RobbinsRCBalabanRSSwainJA. Intermittent hypothermic asanguineous cerebral perfusion (cerebroplegia) protects the brain during prolonged circulatory arrest. A phosphorous-31 nuclear magnetic resonance study. J Thorac Cardiovasc Surg1990; 99: 878–84.
8.
MatsudaHNakanoSShirakuraR. Surgery for aortic arch aneurysm with selective cerebral perfusion and hypothermic cardiopulmonary bypass. Circulation1989; 80(Suppl I): 1243–8.
9.
AlamanniFAgrifoglioMCavorettoD. The surgery of the aortic arch: indications and technique of low-flow selective cerebral perfusion associated to the deep hypothermic circulatory arrest. Cahiers du Circle d'Etude du Circulation Extracorporéelle1991; 36: 73–8.
10.
CunninghamJNLaschingerJCSpencerFC. Monitoring of somatosensory evoked potentials during surgical procedures on the thoracoabdominal aorta. J Thorac Cardiovasc Surg1987; 94: 275–85.
11.
KatzNBlackstoneEHKirklinJWKarpRB. Incremental risk factors for spinal cord injury following operation for acute traumatic aortic transection. J Thorac Cardiovasc Surg1981; 81: 669–74.
12.
JexRKSchaffHVPiehlerJM. Early and late results following repair of dissections of the descending thoracic aorta. J Vasc Surg1986; 3: 226–7.
13.
LivesayJJCooleyDAVentemigliaRA. Surgical experience in descending thoracic aneurysmectomy with and without adjuncts to avoid ischemia. Ann Thorac Surg1985; 39: 37–46.
14.
OlivierHFJrMaherTDLieblerGA. Use of the Biomedicus centrifugal pump in traumatic tears of the thoracic aorta. Ann Thorac Surg1984; 38: 586–91.
15.
DiehlJTPayneDDRastegarHClevelandRJ. Arterial bypass of the descending thoracic aorta with the Biomedicus centrifugal pump. Ann Thorac Surg1987; 44: 422–4.
16.
De BakeyMECooleyDACrawfordESMorrisGCJr. Aneurysm of the thoracic aorta: analysis of 170 patients treated by resection, J Thorac Surg1958; 36: 393–401.
17.
BloodwellRDHallmannGLCooleyDA. Partial cardiopulmonary bypass for pericardiectomy and resection of descending thoracic aorta aneurysm. Ann Thorac Surg1968; 6: 46–9.
18.
NevilleWECoxWDLeiningerBPifarreR. Resection of the descending aorta with femoral vein to femoral artery oxygenator perfusion. J Thorac Cardiovasc Surg1968; 56: 39–43.
19.
KahnDRVethayanonSSloanH. Resection of descending thoracic aorta aneurysm without left heart bypass. Arch Surg1968; 97: 336–40.
20.
GottVL. Heparinized shunts for thoracic vascular operations. Ann Thorac Surg1972; 14: 219–20.
21.
CrawfordESWalkerHSJIIISalehSANormanNA. Graft replacement of aneurysm in descending thoracic aorta: results without bypass or shunting. Surgery1981; 89: 73–85.
22.
CrawfordESMizrachiEMHessKRCoselliJSSafiHJPatelVM. The impact of distal aortic perfusion and somatosensory evoked potential monitoring on prevention of paraplegia after aortic aneurysm operation. J Thorac Cardiovasc Surg1988; 95: 357–67.
