Endovascular versus open elephant trunk completion for extensive aortic disease Eric E. Roselli, MD, Sreekumar Subramanian, MD, Zhiyuan Sun, BS, Jahanzaib.

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Endovascular versus open elephant trunk completion for extensive aortic disease Eric E. Roselli, MD, Sreekumar Subramanian, MD, Zhiyuan Sun, BS, Jahanzaib Idrees, MD, Edward Nowicki, MD, Eugene H. Blackstone, MD, Roy K. Greenberg, MD, Lars G. Svensson, MD, PhD, Bruce W. Lytle, MD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 6, Pages 1408-1417 (December 2013) DOI: 10.1016/j.jtcvs.2013.07.070 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Schematic presentation of patient population with extensive aortic aneurysm disease undergoing elephant trunk reconstruction stratified by presentation. Volume-rendered computed tomographic reconstruction demonstrating the thoracic aorta after endovascular elephant trunk completion to the thoracoabdominal aorta. ET, Elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1408-1417DOI: (10.1016/j.jtcvs.2013.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Survival after elephant trunk procedure stratified by open versus endovascular procedure. Each symbol represents a death positioned on a vertical axis the by Kaplan-Meier estimator. Vertical bars indicate confidence limits equivalent to 1 standard error. Solid lines indicate parametric survival estimates enclosed within dashed 68% confidence bands equivalent to 1 standard deviation. B, Instantaneous risk of death (hazard function) stratified by open versus endovascular procedures presented for 5 years. Note, both the early and later separation of curves (arrows). C, Detailed representation during first 6 months of instantaneous risk of death (hazard function) stratified by open versus endovascular procedures. This demonstrates the initial separation of curves seen in Figure B, and these curves separated after 1 month (arrow). The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1408-1417DOI: (10.1016/j.jtcvs.2013.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, The competing risks of death, endovascular elephant trunk completion, and open elephant trunk completion. At each point, the sum of the 4 curves was 100%. B, Interval to second-stage elephant trunk completion presented as nonparametric estimate of freedom from reintervention stratified by open versus endovascular procedure. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 1408-1417DOI: (10.1016/j.jtcvs.2013.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions