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

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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