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The Journal of Cardiovascular Surgery 2000 February;41(1):117-20

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Radical aortic replacement employing simultaneous modified Bentall and Elephant trunk procedure in Takayasu’s arteritis

Srivastava A. K., Pandey S., Kapoor A.

From the Department of Cardiovascular and Thoracic Surgery and *Cardiology Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India


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A ­case of ­Takayasu’s arter­itis ­resulting in exten­sive fusi­form aneu­rysmal dil­a­ta­tion of the ­entire ­aorta ­extending ­from the ­aortic ­root to the abdom­inal bifur­ca­tion asso­ciated ­with ­aortic regur­gi­ta­tion is ­described. She under­went suc­cessful rad­ical replace­ment of the ­aortic ­root, ­ascending, trans­verse ­arch and prox­imal ­part of ­the descending ­aorta ­employing simul­ta­neous mod­i­fied Ben­tall and Ele­phant ­trunk tech­niques. ­During ­aortic ­arch replace­ment the ­brain was pro­tected by selec­tive ante­grade innom­i­nate per­fu­sion ­under mod­erate hypo­thermia. A pat­tern to the ­best of our knowl­edge, has not ­been ­reported ear­lier.

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