CONCULUSION
Several decades later after its conception, the Two-Stage Elephant Trunk
technique remains a reliable, safe, and reproducible approach for
treatment of extensive aortic disease (mega-aorta). The cumulative
mortality of the stage I, inter-stage, and stage II procedures is
acceptable for disease of this severity. Fear of the inter-stage
mortality should not preclude an aggressive Two-Stage approach to
management of extensive TAA.