Work

Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach

Year: 2022

Type: article

Abstract: Ever since the first hybrid prosthesis was used for a total aortic arch replacement, many other techniques have been developed to comply with the need for the treatment of a wide spectrum of patients and their clinical pictures. We hereby provide an overview of the most popular surgical techniques to perform a frozen elephant trunk, including our tailored approach revolving around the antegrade deployment of a Gore C-TAG endovascular stent graft sutured to a four-branched vascular prosthesis. This technique was applied to three cases of acute type A aortic dissection. Although our small series of patients consists of acute aortic dissections only, this technique could be applied to any other aortic arch pathology, such as chronic dissections or aneurysms. Moreover, we believe that, because of the individually tailored approach and widespread availability of the necessary materials, this technique can reveal itself useful in many different operative scenarios.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm11041120

Authors: Alan Gallingani, Andrea Venturini, Matteo Scarpanti, Domenico Mangino, Francesco Formica

Institutions: Ospedale di Parma, University of Parma

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,513