“ELEPHANT TRUNK” AND ENDOVASCULAR STENTGRAFTING – A HYBRID APPROACH TO THE TREATMENT OF EXTENSIVE THORACIC AORTIC ANEURYSM

Holubec, Tomáš; Raupach, Jan; Dominik, Jan; Vojáček, Jan

doi:10.14712/18059694.2014.28

Acta Medica > Archive > 2013, Vol. 56 > Issue 2 > “ELEPHANT TRUNK” AND ENDOVASCULAR…

Acta Med. 2013, 56: 80-82

https://doi.org/10.14712/18059694.2014.28

“ELEPHANT TRUNK” AND ENDOVASCULAR STENTGRAFTING – A HYBRID APPROACH TO THE TREATMENT OF EXTENSIVE THORACIC AORTIC ANEURYSM

Tomáš Holubec^a, Jan Raupach^b, Jan Dominik^a, Jan Vojáček^a

^aCharles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Cardiac Surgery
^bCharles University in Prague, Faculty of Medicine and University Hospital in Hradec Králové, Czech Republic: Department of Radiology

A hybrid approach to elephant trunk technique for treatment of thoracic aortic aneurysms combines a conventional surgical and endovascular therapy. Compared to surgery alone, there is a presumption that mortality and morbidity is reduced. We present a case report of a 42-year-old man with a giant aneurysm of the entire thoracic aorta, significant aortic and tricuspid regurgitation and ventricular septum defect. The patient underwent multiple consecutive operations and interventions having, among others, finally replaced the entire thoracic aorta with the use of the hybrid elephant trunk technique.