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J Thorac Cardiovasc Surg 2008;135:1188-1189
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

The importance of distal fixation in total arch replacement for distal aortic arch aneurysm

Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

The first 20% of the full text of this article appears below.

To the Editor:

We read with interest the article from Toda and colleagues¹ about single-stage repair of arch aneurysm. We think that total arch replacement (TAR) with the long elephant trunk (LET) in this article has some potential as an alternative treatment for thoracic aortic aneurysm; however, we cannot agree with the conclusion.

In this article TAR with an LET was applied for arch aneurysm down to the level of the tracheal bifurcation. We previously reported that the aneurysms of the aortic arch were safely . . . [Full Text of this Article]