Endovascular stent-grafting after arch aneurysm repair using the "Elephant Trunk"

James I. Fann, Michael D. Dake, Charles P. Semba, Robert P. Liddell, Thomas A. Pfeffer, D. Craig Miller

Research output: Contribution to journalArticlepeer-review

80 Scopus citations


A 68-year-old woman with severe chronic obstructive pulmonary disease, aortic valvular insufficiency, and diffuse thoracic aortic aneurysm underwent aortic valve replacement and separate Dacron graft replacement of the ascending aortic and arch aneurysms using the elephant trunk technique. She was discharged on the tenth postoperative day. Five months later, she underwent endovascular stent-graft repair of the descending thoracic aortic aneurysm. She recovered uneventfully, and was discharged on the third postoperative day. Follow-up computed tomography at 6 months demonstrated exclusion of all flow into the descending thoracic aortic aneurysm. The elephant trunk technique followed by endovascular stent-grafting of the descending thoracic component is a potential therapeutic option in selected high-risk patients with diffuse aortic aneurysmal disease.

Original languageEnglish (US)
Pages (from-to)1102-1105
Number of pages4
JournalThe Annals of thoracic surgery
Issue number4
StatePublished - Oct 1995
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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