PMID- 29340633
OWN - NLM
STAT- MEDLINE
DCOM- 20190410
LR  - 20221207
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 26
IP  - 5
DP  - 2018 May 1
TI  - Kinking of an open stent graft after total arch replacement with the frozen 
      elephant technique for acute Type A aortic dissection.
PG  - 875-877
LID - 10.1093/icvts/ivx387 [doi]
AB  - Recently, in Japan, the J Graft Open Stent Graft (JOSG) was commercialized for 
      surgical repair of an aortic aneurysm and aortic dissection and the frozen 
      elephant trunk technique was applied. Kinking of the JOSG is a rare adverse event 
      that requires additional intervention. We experienced 2 patients who developed 
      kinking of a JOSG after translocated total arch replacement with the frozen 
      elephant trunk technique for acute Type A aortic dissection. Both patients had 
      intermittent claudication with a decreased ankle-brachial pressure index after 
      the operation. Computed tomography angiography showed kinking between the 
      non-stent and stent parts of the JOSG. Therefore, we performed endovascular 
      repair. A severely angulated arch preserved by a translocated technique may lead 
      to kinking of a JOSG. This suggests that the removed non-stent part should be as 
      short as possible to prevent kinking of the JOSG.
FAU - Morisaki, Akimasa
AU  - Morisaki A
AD  - Department of Cardiovascular Surgery, Osaka City University Graduate School of 
      Medicine, Osaka, Japan.
FAU - Isomura, Tadashi
AU  - Isomura T
AD  - Department of Cardiovascular Surgery, Tokyo Heart Center, Tokyo, Japan.
FAU - Fukada, Yasuhisa
AU  - Fukada Y
AD  - Department of Cardiovascular Surgery, Tokyo Heart Center, Tokyo, Japan.
FAU - Yoshida, Minoru
AU  - Yoshida M
AD  - Department of Cardiovascular Surgery, Tokyo Heart Center, Tokyo, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Adult
MH  - Aortic Dissection/*surgery
MH  - Aortic Aneurysm, Thoracic/*surgery
MH  - Blood Vessel Prosthesis/*adverse effects
MH  - Blood Vessel Prosthesis Implantation/*adverse effects/methods
MH  - Computed Tomography Angiography
MH  - Humans
MH  - Japan
MH  - Male
MH  - Postoperative Complications/diagnostic imaging/*etiology/surgery
MH  - Stents/*adverse effects
EDAT- 2018/01/18 06:00
MHDA- 2019/04/11 06:00
CRDT- 2018/01/18 06:00
PHST- 2017/08/15 00:00 [received]
PHST- 2017/11/12 00:00 [accepted]
PHST- 2018/01/18 06:00 [pubmed]
PHST- 2019/04/11 06:00 [medline]
PHST- 2018/01/18 06:00 [entrez]
AID - 4797550 [pii]
AID - 10.1093/icvts/ivx387 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2018 May 1;26(5):875-877. doi: 
      10.1093/icvts/ivx387.