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Endovascular Retrieval of Entrapped Elephant Trunk Graft During Complex Hybrid Aortic Arch Repair

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Abstract

Entrapment of the elephant trunk graft within the false lumen is a rare complication of surgical repair of an aortic dissection. This is normally retrieved by emergent open surgery. We describe a technique of endovascular retrieval of the dislodged graft, during hybrid aortic arch repair. The elephant trunk was cannulated through and through from a femoral access and the free end of the wire was snared and retrieved from a brachial access. The wire was externalised from both accesses and was used to reposition the graft into the true lumen using a body flossing technique.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore

    Karthikeyan Damodharan & Kiang Hiong Tay

  2. Department of Cardiothoracic Surgery, National Heart Centre, Singapore, Singapore

    Victor T. T. Chao

Authors
  1. Karthikeyan Damodharan
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  2. Victor T. T. Chao
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  3. Kiang Hiong Tay
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Corresponding author

Correspondence to Karthikeyan Damodharan.

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The authors declare that they have no conflict of interests.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Informed consent was obtained from all individual participants included in the study.

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Damodharan, K., Chao, V.T.T. & Tay, K.H. Endovascular Retrieval of Entrapped Elephant Trunk Graft During Complex Hybrid Aortic Arch Repair. Cardiovasc Intervent Radiol 39, 1770–1773 (2016). https://doi.org/10.1007/s00270-016-1453-8

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  • DOI: https://doi.org/10.1007/s00270-016-1453-8

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