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

Letter to the Editor

Reply to the Editor

Koichi Toda, MD, Kazuhiro Taniguchi, MD, Takenori Yokota, MD, Satoshi Kainuma, MD

Department of Cardiovascular Surgery, Osaka Rosai Hospital, Osaka, Japan

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

We would like to thank Drs Asano and Okita for their comments regarding our study,1Go in which we demonstrated that the majority of arch aneurysms could be repaired with a long elephant trunk (LET) anastomosed at the base of the innominate artery without distal anastomosis in the descending aorta. They raised the issue of distal fixation of the LET in our technique. Although the proximal end of the LET is sutured at the base of the innominate artery and proximal endoleak is prevented, the distal end of the LET . . . [Full Text of this Article]






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