Descending aortic replacement after frozen elephant trunk: graft clamping and true-lumen anastomosis.
Ryo Shimano, Yoshinori Nakahara, Tomohiro Iwakura et al.
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From the abstract
Second-stage descending aortic replacement after arch replacement with a frozen elephant trunk requires proximal control at a site that is often hostile to cross-clamping. The conventional elephant trunk technique was introduced to avoid cross-clamping the vulnerable proximal aorta; the previously implanted graft, left hanging in the descending aorta, is grasped and clamped…