scholarly journals An unusual case of Thoraflex displacement after blunt thoracic trauma during skiing

2020 ◽  
Vol 59 (1) ◽  
pp. 274-275
Author(s):  
Luca Di Marco ◽  
Luca Botta ◽  
Giacomo Murana ◽  
Davide Pacini
Keyword(s):  
Postoperative Complications ◽  
Aortic Dissection ◽  
Thoracic Trauma ◽  
Unusual Case ◽  
Thoracic Endovascular Aortic Repair ◽  
Blunt Thoracic Trauma ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Hybrid Prosthesis ◽  
Elephant Trunk Procedure

Abstract We present a case of a patient, who had previously undergone a frozen elephant trunk procedure for acute non-A–non-B aortic dissection, and developed a traumatic new entry tear due to the displacement of the hybrid prosthesis while skiing. An emergency thoracic endovascular aortic repair was performed without postoperative complications.

The zone 2 concept and distal stent graft positioning in TH 2–3 are associated with high rates of secondary aortic interventions in frozen elephant trunk surgery

2021 ◽  
Author(s):  
Markus Liebrich ◽  
Efstratios I Charitos ◽  
Sebastian Schlereth ◽  
Helfried Meißner ◽  
Tobias Trabold ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Type A ◽  
Distal Anastomosis ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Hybrid Prosthesis ◽  
Elephant Trunk Procedure ◽  
Graft Length ◽  
Aortic Dissection Type A

Abstract OBJECTIVES The goal of this study was to investigate the association between the localization of the distal anastomosis (zone 2/3), the stent graft length (100–160 mm), the position of the distal end of the hybrid prosthesis and the need for secondary aortic intervention (SAI) in acute and chronic thoracic aortic disease after the frozen elephant trunk procedure. METHODS From 2009 through 2020, a total of 232 patients (137 men; mean age, 61.7 ± 13.8 years) were treated with the frozen elephant trunk procedure. The main indications were acute aortic dissection type A (n = 106, 46%), chronic aortic dissection type A (n = 52, 22%) and degenerative thoracic aortic aneurysm (n = 74, 32%). RESULTS The rate of SAI was significantly higher when we performed a distal anastomosis in zone 2 rather than in zone 3, whereas the rate of SAI was less frequent if the distal positioning of the hybrid prosthesis was below TH 4–5. Combining the zone 2 concept and the short stent graft length (100 mm) was associated with a significantly higher rate of SAIs. Patients with a distal anastomosis in zone 2 were significantly less likely to have a recurrent laryngeal nerve injury (P < 0.001). However, no association between a specific arch zone of a distal anastomosis and the occurrence of spinal cord injury was observed. CONCLUSIONS Rates of SAIs are highest in patients who were treated with a distal anastomosis in zone 2 and a short stent graft (100 mm) with the distal end of the hybrid prosthesis at vertebral level TH 2–3.

scholarly journals Quantification of volume changes in the descending aorta after frozen elephant trunk procedure using the Thoraflex hybrid prosthesis for type A aortic dissection

2021 ◽  
Vol 13 (1) ◽  
pp. 60-66
Author(s):  
Marco Virgilio Usai ◽  
Abdulhakim Ibrahim ◽  
Alexander Oberhuber ◽  
Angelo Maria Dell’Aquila ◽  
Sven Martens ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Frozen Elephant Trunk ◽  
Volume Changes ◽  
Elephant Trunk ◽  
Descending Aorta ◽  
Type A Aortic Dissection ◽  
Hybrid Prosthesis ◽  
Elephant Trunk Procedure

scholarly journals Type B aortic dissection repair using a Thoraflex hybrid prosthesis in a setting of aberrant left vertebral artery

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Saifullah Mohamed ◽  
Akshay J Patel ◽  
Yassir Iqbal ◽  
Khurum Mazhar ◽  
Uday Dandekar ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Vertebral Artery ◽  
Left Vertebral Artery ◽  
Type B ◽  
Frozen Elephant Trunk ◽  
Type B Aortic Dissection ◽  
Elephant Trunk ◽  
Aortic Replacement ◽  
Increased Risk ◽  
Hybrid Prosthesis

Abstract Type B aortic dissection (TBAD) is often managed conservatively with intervention reserved for complicated cases. Strategies for complicated and uncomplicated TBAD can involve optimal medical therapy, thoracic endovascular aortic replacement and open surgical repair of TBAD with replacement of the affected segment of aorta and reimplantation of aortic branches. The frozen elephant trunk technique has been reported to be a successful surgical strategy in patients with complicated TBAD, particularly in patients who possess unfavourable aortic arch anatomy for endovascular stenting or at increased risk of retrograde Type A aortic dissection. The Thoraflex is a commercially available aortic graft, manufactured by Vascutek®. We describe a successful case of addressing complicated TBAD with rare variant aortic anatomy using a Thoraflex hybrid frozen elephant trunk graft and reimplantation of the aberrant left vertebral artery to the perfusion limb of the Thoraflex graft.

scholarly journals Role of the frozen elephant trunk procedure for chronic aortic dissection

2017 ◽  
Vol 51 (suppl 1) ◽  
pp. i35-i39 ◽  
Author(s):  
Eric E. Roselli ◽  
Faisal G. Bakaeen ◽  
Douglas R. Johnston ◽  
Edward G. Soltesz ◽  
Michael Z. Tong
Keyword(s):  
Aortic Dissection ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Chronic Aortic Dissection ◽  
Elephant Trunk Procedure

scholarly journals The risk of spinal cord injury during the frozen elephant trunk procedure in acute aortic dissection

2018 ◽  
Vol 26 (6) ◽  
pp. 972-976 ◽  
Author(s):  
Boris N Kozlov ◽  
Dmitri S Panfilov ◽  
Igor V Ponomarenko ◽  
Andrey G Miroshnichenko ◽  
Aleksandra A Nenakhova ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Cord Injury ◽  
Elephant Trunk Procedure

Zone 1 Debranching for Frozen Elephant Trunk and Whole-Body Perfusion

2019 ◽  
Vol 14 (4) ◽  
pp. 361-364
Author(s):  
Gianluigi Bisleri ◽  
Syed M. Ali Hassan ◽  
Darrin M. Payne ◽  
Dimitri Petsikas ◽  
Andrew Hamilton ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Whole Body ◽  
Frozen Elephant Trunk ◽  
Chronic Type ◽  
Elephant Trunk ◽  
Technical Feasibility ◽  
Type A Aortic Dissection ◽  
Ischemic Complications ◽  
Elephant Trunk Procedure

A 65-year-old man with chronic type A aortic dissection underwent zone 1 debranching and frozen elephant trunk with whole-body perfusion. This approach has the potential to improve technical feasibility of the frozen elephant trunk procedure and reduce its ischemic complications.

scholarly journals Endovascular fenestration of aortic dissection membrane after failed frozen elephant trunk procedure

2019 ◽  
Author(s):  
Jan Raupach ◽  
Vendelin Chovanec ◽  
Veronika Kozakova ◽  
Jan Vojacek
Keyword(s):  
Aortic Dissection ◽  
False Lumen ◽  
Acute Type ◽  
Frozen Elephant Trunk ◽  
True Lumen ◽  
Elephant Trunk ◽  
Type A Aortic Dissection ◽  
Elephant Trunk Technique ◽  
Elephant Trunk Procedure ◽  
Frozen Elephant Trunk Technique

Abstract We report a case of a 51-year-old male with complicated acute type A aortic dissection who initially underwent a supracoronary and aortic arch replacement using frozen elephant trunk technique. False-lumen perfusion was revealed later which resulted in the collapse of the true lumen. Endovascular fenestration of the dissection flap was performed. True-lumen reperfusion with false-lumen regression was achieved. Endovascular fenestration using a re-entry catheter represents an efficient and safe treatment approach for this rare but serious complication.

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