FIGURE LEGENDS
Figure 1. Flowchart showing the patient breakdown.
Figure 2. The elephant trunk: (A) Implantation and Suturing;
(B) Head vessels and graft to graft anastomosis. (Reprinted with
permission from Velasquez CA, Zafar MA, Saeyeldin A, Bin Mahmood SU,
Brownstein AJ, Erben Y, et al. Two-Stage Elephant Trunk approach for
open management of distal aortic arch and descending aortic pathology in
patients with Marfan syndrome. Ann Cardiothorac Surg. 2017;6(6):712-20.)
Figure 3. Finger-thumb technique for retrieval of the elephant
trunk. (Reprinted with permission from Velasquez CA, Zafar MA, Saeyeldin
A, Bin Mahmood SU, Brownstein AJ, Erben Y, et al. Two-Stage Elephant
Trunk approach for open management of distal aortic arch and descending
aortic pathology in patients with Marfan syndrome. Ann Cardiothorac
Surg. 2017;6(6):712-20.)
Figure 4. Completion of the elephant trunk procedure. (A)
anastomosis to the descending aorta; (B) Replacement of the
thoracoabdominal aorta. (Reprinted with permission from Velasquez CA,
Zafar MA, Saeyeldin A, Bin Mahmood SU, Brownstein AJ, Erben Y, et al.
Two-Stage Elephant Trunk approach for open management of distal aortic
arch and descending aortic pathology in patients with Marfan syndrome.
Ann Cardiothorac Surg. 2017;6(6):712-20.)
Figure 5. Distribution of cases throughout the study period.
Figure 6. Kaplan Meir Curves; A) for the whole cohort, B) for
patients who underwent stage I only, C) for patients who underwent both
stages I and II.