A Smart Solution for Solving Acute Angulations during Frozen Elephant Trunk Implantation
15 February 2015
14 April 2015
10 July 2015 (online)
Acute angulations of native thoracic aortic segments affect treatment strategies for acute and chronic thoracic aortic pathology. These angulations might present an issue not only in segments where thoracic endovascular aortic repair is planned but also in segments where open repair is intended. Consequently, clinical scenarios arise where there is need for adapting strategies in frozen elephant trunk implantation. In this conceptual report, we do describe a technical modification to solve this issue.
- 1 Dumfarth J, Michel M, Schmidli J , et al. Mechanisms of failure and outcome of secondary surgical interventions after thoracic endovascular aortic repair (TEVAR). Ann Thorac Surg 2011; 91 (4) 1141-1146
- 2 Shrestha M, Pichlmaier M, Martens A, Hagl C, Khaladj N, Haverich A. Total aortic arch replacement with a novel four-branched frozen elephant trunk graft: first-in-man results. Eur J Cardiothorac Surg 2013; 43 (2) 406-410
- 3 Gotschy A, Binter C, Niemann M , et al. Multimodal functional evaluation of severe kinking of an ascending aortic prosthesis in a patient with embolic stroke. Eur Heart J 2014; 35 (19) 1294