Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach
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 t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/4/1120 |
| _version_ | 1797479028044595200 |
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| author | Alan Gallingani Andrea Venturini Matteo Scarpanti Domenico Mangino Francesco Formica |
| author_facet | Alan Gallingani Andrea Venturini Matteo Scarpanti Domenico Mangino Francesco Formica |
| author_sort | Alan Gallingani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T21:40:01Z |
| format | Article |
| id | doaj.art-48a1741b1400425b895a0d5c13c16c63 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:40:01Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-48a1741b1400425b895a0d5c13c16c632023-11-23T20:31:59ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-01114112010.3390/jcm11041120Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored ApproachAlan Gallingani0Andrea Venturini1Matteo Scarpanti2Domenico Mangino3Francesco Formica4Cardiac Surgery Unit, University Hospital of Parma, 43126 Parma, ItalyCardiac Surgery Unit, Angel Hospital, 30174 Mestre, ItalyCardiac Surgery Unit, University Hospital of Parma, 43126 Parma, ItalyCardiac Surgery Unit, Angel Hospital, 30174 Mestre, ItalyCardiac Surgery Unit, University Hospital of Parma, 43126 Parma, ItalyEver 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.https://www.mdpi.com/2077-0383/11/4/1120frozen elephant trunkaortic arch replacementaortic dissectionaortic arch hybrid prosthesisaortic surgeryendovascular arch surgery |
| spellingShingle | Alan Gallingani Andrea Venturini Matteo Scarpanti Domenico Mangino Francesco Formica Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach Journal of Clinical Medicine frozen elephant trunk aortic arch replacement aortic dissection aortic arch hybrid prosthesis aortic surgery endovascular arch surgery |
| title | Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach |
| title_full | Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach |
| title_fullStr | Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach |
| title_full_unstemmed | Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach |
| title_short | Frozen Elephant Trunk: Technical Overview and Our Experience with a Patient-Tailored Approach |
| title_sort | frozen elephant trunk technical overview and our experience with a patient tailored approach |
| topic | frozen elephant trunk aortic arch replacement aortic dissection aortic arch hybrid prosthesis aortic surgery endovascular arch surgery |
| url | https://www.mdpi.com/2077-0383/11/4/1120 |
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