frozen elephant trunk technique
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Author(s):  
Dmitri S. Panfilov ◽  
Boris N. Kozlov

AbstractWe describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detected. No thrombus recurrence was observed during 19 months of follow-up.


Aorta ◽  
2021 ◽  
Vol 09 (06) ◽  
pp. 201-214
Author(s):  
Eduardo Bossone ◽  
Riccardo Gorla ◽  
Brigida Ranieri ◽  
Valentina Russo ◽  
Heinz Jakob ◽  
...  

AbstractOver the years, the cardiovascular department of Johannes Gutenberg University in Mainz-West-German Heart Centre in Essen (Germany) designed and implemented the hybrid operating room (2003) along with advanced endovascular and surgical procedures, including the frozen elephant trunk technique. For the study purpose, the Mainz–Essen experience on acute aortic syndromes was summarized by considering original articles from single-center or multicenter studies performed at West German Heart Centre, Essen, Germany, or at the cardiovascular department of Johannes Gutenberg University, Mainz, Germany. We present the 35-year-long Mainz–Essen research, education, and patient management journey in creating an integrated multidisciplinary “Aortic Center” in the heart of Europe.


Author(s):  
Jacky Y K Ho ◽  
Kevin Lim ◽  
Takuya Fujikawa ◽  
Randolph H L Wong

Abstract Excessive oozing after total arch replacement with the frozen elephant trunk technique through the fabric of the E-vita Open NEO raised concern about its early adaptation. The mechanism is speculated to be multifactorial. Our goal was to report our approach using pre-emptive BioGlue priming on the fabric against the oozing phenomenon.


Author(s):  
Thomas Sénage ◽  
Nicolas Bonnet ◽  
Guillaume Guimbretière ◽  
Charles‐Henri David ◽  
Jean‐Christian Roussel ◽  
...  

Author(s):  
Igor Vendramin ◽  
Nunzio de Manna ◽  
Sandro Sponga ◽  
Andrea Lechiancole ◽  
Massimo Sponza ◽  
...  

We report a patient who presented with paraplegia after ascending aorta and arch replacement using the frozen elephant trunk technique. Immediate postoperatively cerebrospinal fluid drainage allowed successful reversal of spinal chord injury. Early awakening of patients following a frozen elephant technique is mandatory because it allows recognition and treatment of this complication by prompt cerebrospinal liquor drainage.


2021 ◽  
Author(s):  
Vincent Chauvette ◽  
Maral Ouzounian ◽  
Jennifer Chung ◽  
Mark Peterson ◽  
Munir Boodhwani ◽  
...  

The frozen elephant trunk technique has revolutionized aortic arch repair to enable more extensive arch and descending thoracic aortic treatment in a single setting. We review the current evidence supporting the use of the Thoraflex Hybrid (Terumo Aortic, FL, USA) device and discuss advantages, pitfalls and future design considerations.


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