Surgery for Acute Type A Dissection With the Tear in the Descending Aorta Using a Stented Elephant Trunk Procedure LiZhong Sun, MD, RuiDong Qi, MD, Qian.

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Surgery for Acute Type A Dissection With the Tear in the Descending Aorta Using a Stented Elephant Trunk Procedure LiZhong Sun, MD, RuiDong Qi, MD, Qian Chang, MD, JunMing Zhu, MD, YongMin Liu, MD, ChunTao Yu, MD, HaiTao Zhang, MD, Bin Lv, MD, Jun Zheng, MD, LiangXin Tian, MD, JinGuo Lu, MD The Annals of Thoracic Surgery Volume 87, Issue 4, Pages 1177-1180 (April 2009) DOI: 10.1016/j.athoracsur.2009.01.042 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic scans of a patient with acute type A dissection with the tear in the descending aorta 2 weeks (A and B) and 15 months (C and D) after surgery. Thrombosis of the false lumen was observed at the distal edge of the stented graft (A) and at the diaphragmatic level (B) 2 weeks after surgery. Absorption of false-channel thrombosis was observed at the distal edge of the stented graft (C) and at the diaphragmatic level (D) 15 months after surgery. The true lumen resumed completely, and the descending aorta returned to normal size after remodeling of the aortic wall during follow-up (C and D). The Annals of Thoracic Surgery 2009 87, 1177-1180DOI: (10.1016/j.athoracsur.2009.01.042) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions