The hybrid elephant trunk procedure: A single-stage repair of an ascending, arch, and descending thoracic aortic aneurysm

A ruptured thoracic aortic aneurysm complicated by spinal cord compression resulting in paraparesis although rare, can be a life-threatening condition. Despite treatment, patients may have a permanent disability due to the disease process itself or as a consequence of the surgical procedure. We describe an unusual case of descending thoracic aortic aneurysm complicated by vertebral erosion and paraparesis from spinal cord compression. The patient was successfully management by an interdisciplinary surgical approach utilizing a single-stage procedure comprising replacement of the aorta with a Dacron graft, spinal decompression surgery, and vertebral reconstruction using a titanium mesh cage.

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Endovascular repair after stent elephant trunk procedure for extensive thoracic aortic aneurysm

Interactive Cardiovascular and Thoracic Surgery ◽

10.1510/icvts.2008.184051 ◽

2008 ◽

Vol 7 (6) ◽

pp. 1189-1190 ◽

Cited By ~ 1

Author(s):

S. D. Xu ◽

Z. M. Fan ◽

Y. Li ◽

F. J. Huang

Keyword(s):

Aortic Aneurysm ◽

Endovascular Repair ◽

Thoracic Aortic Aneurysm ◽

Elephant Trunk ◽

Elephant Trunk Procedure

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Rapid Expansion of the Descending Thoracic Aortic Aneurysm and Aneurysm-Induced DIC Following Total Arch Replacement with a Long Elephant Trunk

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.46.130 ◽

2017 ◽

Vol 46 (3) ◽

pp. 130-133

Author(s):

Ken-ichiro Takahashi ◽

Yuji Maruyama ◽

Takahide Yoshio ◽

Motoko Morishima ◽

Takashi Nitta

Keyword(s):

Aortic Aneurysm ◽

Thoracic Aortic Aneurysm ◽

Total Arch Replacement ◽

Rapid Expansion ◽

Elephant Trunk ◽

Descending Thoracic Aortic Aneurysm

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Case report: A descending thoracic aortic aneurysm presenting as airway challenge

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2021.110230 ◽

2021 ◽

Vol 71 ◽

pp. 110230

Author(s):

Thushara Madathil ◽

Sudheer Babu Vanga ◽

Reshmi Liza Jose ◽

Gopan Gopalakrishna Pillai

Keyword(s):

Case Report ◽

Aortic Aneurysm ◽

Thoracic Aortic Aneurysm ◽

Descending Thoracic Aortic Aneurysm

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Single-stage repair of extended thoracic aortic aneurysm

Interactive Cardiovascular and Thoracic Surgery ◽

10.1510/icvts.2008.190801 ◽

2008 ◽

Vol 8 (3) ◽

pp. 377-378 ◽

Cited By ~ 1

Author(s):

Y. Okamoto ◽

M. Matsumoto ◽

H. Inoue

Keyword(s):

Aortic Aneurysm ◽

Thoracic Aortic Aneurysm ◽

Single Stage

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Cerebrospinal Fluid Drainage to Reverse Paraplegia after Endovascular Thoracic Aortic Aneurysm Repair

Journal of Endovascular Therapy ◽

10.1177/152660280000700207 ◽

2000 ◽

Vol 7 (2) ◽

pp. 132-135 ◽

Cited By ~ 38

Author(s):

Kurt Tiesenhausen ◽

Wilfried Amann ◽

Günter Koch ◽

Klaus A. Hausegger ◽

Peter Oberwalder ◽

...

Keyword(s):

Cerebrospinal Fluid ◽

Aortic Aneurysm ◽

Neurological Deficit ◽

Thoracic Aortic Aneurysm ◽

Intrathecal Catheter ◽

Descending Thoracic Aortic Aneurysm ◽

Csf Drainage ◽

Cord Injury ◽

The Right ◽

Aneurysm Repair

Purpose: To report a case of endovascular descending thoracic aortic aneurysm (TAA) repair in which delayed-onset paraplegia was reversed using cerebrospinal fluid (CSF) drainage. Methods and Results: A 74-year-old patient with a 6.0-cm TAA underwent endovascular stent-graft repair that involved overlapping placement of 3 Talent devices to cover the 31-cm-long defect. Twelve hours later, a neurological deficit occurred manifesting as left leg paralysis with paresis on the right. After urgent intrathecal catheter placement and drainage of cerebrospinal fluid for 48 hours, the neurological deficit resolved. The patient's clinical condition was normal and endoluminal exclusion of the TAA remained secure at 8-month follow-up. Conclusions: This case demonstrates the potential therapeutic role for CSF drainage to reduce the complications of spinal cord injury after endovascular thoracic aneurysm repair.

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