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Extensive aneurysms involving the ascending aorta,aortic arch,and the descending aorta stand as a therapeutic dilemma in simultaneous management of multiple sites of pathology of the aortic arch and the descending thoracic aorta.We systematically reviewed about literatures of stented elephant trunk operation(SET) identified through searches of the electronic databasesEMBASE and Medline,and aimed to summarize studies of patients undergoing SET for extensive aneurysms.Since 1996,Kato Mintroduced a hybrid technique by using stented graft implantation to the descending aorta for treatment of thoracic aortic aneurysm or dissection.It has been describe a good option for extensive thoracic aortic aneurysms and in a fashion similar to the elephant trunk technique.
Extensive aneurysms involving the ascending aorta, aortic arch, and the descending aorta stand as a therapeutic dilemma in simultaneous management of multiple sites of pathology of the aortic arch and the descending thoracic aorta. We systematically reviewed about literatures of stented elephant trunk operation (SET) identified through searches of the electronic databases EMBASE and Medline, and aimed to summarize studies of patients undergoing SET for extensive aneurysms. Since 1996, Kato Minoded a hybrid technique by using stented graft implantation to the descending aorta for treatment of thoracic aortic aneurysm or dissection. It has been describe a good option for extensive thoracic aortic aneurysms and in a fashion similar to the elephant trunk technique.