We present our 14-year experience in the management of extensive aortic aneurysms. Significant progress has been made in reducing the morbidity and mortality associated with these procedures. Our strategies for organ protection, operative techniques, including the elephant trunk technique, and surgical results are discussed.
2. Svensson, I,G.Rationale and technique for replacement of the ascending aorta, arch, and distal aorta using a modified elephant trunk procedure. J Card Surg7:301-312, 1992.
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3. Safi HJ, Miller CC 3rd, Iliopotilos DC, et al: Staged repair of extensive aortic aneurysm: improved neurologic outcome. Ann Surg226:599-605, 1997.
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4. Safi HJ, Miller CC 3rd, Estrera AL, et al: Staged repaiir of extensive aortic aneurysms: morbidity and mortality in the elephant trunk technique. Circulation1.04:2938-3942, 2001.
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5. Safi HJ, Miller CC 3rd. Estrera AL, et al: Staged repair of extensive aortic aneurysms: long-term experience with the elephant trunk technique. Ann Surg240:677-684; discussion 684-685, 2004.
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6. Estrera Al, Miller C(C 3rd, luynh TI, et al: Replacement of the ascending and transverse aortic arch: determinants of long-term survival. Ann Thorac Surg74:1058-1064; dliscussion 1.064-5 2002.
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7. Safi HJ, Miller CC 3rd, Huynh TT, et al: Distal aortic perfusion and ccirebrospinal fluid drainage fbr thoracoabdominaIl and descending thoracic aIor tic repairt ten years of organ piotection. Ann Stirg238:372-380; discussion 380-381, 2003.
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8. Iluvnih TT, Van.,ps R, Miller CC, et al: Glomerular filtration rate (GFR) is superior to serum creatinine for prediction of mortality following thoracoabdominal aortic aneurysm repair. J Vasc Surg. In press.
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9. Estrera AL, Miller CC, Chen EP. et al: Descendingn thoracic aortic aneurysm repair: 1.2 year experience using distal aortic perfusion and cerebrospinal fluid drainage. J Thorac Cardiovasc Surg. In Press.
