Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma,

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Stented Elephant Trunk Technique for Retrograde Type A Aortic Dissection After Endovascular Stent Graft Repair Bin Li, MD, Xu-Dong Pan, MD, Wei-Guo Ma, MD, Jun Zheng, MD, Ying-Long Liu, MD, Jun-Ming Zhu, MD, Yong-Min Liu, MD, Li-Zhong Sun, MD The Annals of Thoracic Surgery Volume 97, Issue 2, Pages 596-602 (February 2014) DOI: 10.1016/j.athoracsur.2013.09.033 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The stent graft, Cronus. (1 = pull wire; 2 = handle; 3 = compressed state by a surgical thread; 4 = tip; 5 = released state.) The Annals of Thoracic Surgery 2014 97, 596-602DOI: (10.1016/j.athoracsur.2013.09.033) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The stented elephant trunk (SET) procedure: total aortic arch replacement plus open SET. The Annals of Thoracic Surgery 2014 97, 596-602DOI: (10.1016/j.athoracsur.2013.09.033) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative view of a perforated aortic arch by free-flow bare spring proximal end of endovascular stent graft. The Annals of Thoracic Surgery 2014 97, 596-602DOI: (10.1016/j.athoracsur.2013.09.033) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Computed tomography angiography (CTA) of a patient with retrograde type A aortic dissection related to TEVAR. (A) Preoperative scan shows the aortic dissection located in descending aorta. (B) The CTA was performed 11 days post endovascular therapy due to new-onset chest pain shows a dissection of the ascending aorta. (C) The true lumen of descending aorta return to normal and the false lumen were obliterated with thrombus 1 week after operation. (D) Thrombus absorption and shrinkage of false lumen make the shape of the descending aorta return to normal 3 months later. The Annals of Thoracic Surgery 2014 97, 596-602DOI: (10.1016/j.athoracsur.2013.09.033) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions