Surgical technique of total arch replacement for failed thoracic endovascular aortic repair.

Since its introduction in the 1990s, the number of thoracic endovascular aortic repairs is increasing rapidly. However, data on the operative method for reoperation after failed thoracic endovascular aortic repairs are still scanty. We describe the surgical technique of total arch replacement with partial stent removal and the elephant trunk procedure for failed thoracic endovascular aortic repair. Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.