Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
We report a bail out approach of endovascular thoracic aorta repair following incorrect deployment of a modified frozen elephant trunk stent graft into the false lumen. A 76-year-old patient was admitted to our Emergency Department. A computed tomography angiography scan showed type I DeBakey aortic dissection. An emergency modified frozen elephant trunk procedure was performed. Immediate postoperative computed tomography angiography showed that the distal segment of the stent was deployed in the false lumen, probably through a re-entry tear at the descending thoracic aorta. Emergency endovascular repair of the thoracic aorta, as well as angioplasty of the superior mesenteric artery and left iliac artery, were performed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7869178 | PMC |
| http://dx.doi.org/10.1177/0300060520986710 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Emergency Endovascular Rescue Using Fenestration for False Lumen Deployment of the Frozen Elephant Trunk in Aortic Rupture.
Cureus
July 2025
Cardiovascular Surgery, Kushiro City General Hospital, Kushiro, JPN.
A 65-year-old man presented with Stanford type B aortic dissection complicated by rupture of the distal aortic arch, originating from the false lumen. Due to the short distance between the supra-aortic branches, the lack of peripheral access from malperfusion, and the invasiveness of combined arch and descending aortic replacement via left thoracotomy, emergency total arch replacement with a frozen elephant trunk was chosen to close the primary entry and control the rupture. However, intraoperative deployment of the prosthesis into the false lumen was suspected due to increasing bleeding and transesophageal echocardiographic findings.
View Article and Find Full Text PDF[Frozen Elephant Trunk Technique with Semi-circumferential Aortic Arch Incision for Distal Arch Aortic Aneurism Rupture:Report of a Case].
Kyobu Geka
August 2025
Department of Cardiovascular Surgery, Hirakata Kosai Hospital, Hirakata, Japan.
An 82-year-old man was admitted to our hospital with chest pain as a chief complaint and diagnosed with a ruptured aortic aneurysm in the distal arch by contrast-enhanced computed tomography (CT). The patient underwent surgery using artificial heart-lung and selective cerebral extracorporeal circulation, and a semi-circumferential aortic arch incision was made around the anterior surface of the aortic arch. An open stent graft was inserted through the incision, trimmed to fit the size, and the aortic wall and the stent graft were fixed with 3-0 proline continuous sutures, and finally the incision was closed with 3-0 proline.
View Article and Find Full Text PDF[Aortic Arch Replacement Using Fenestrated Frozen Elephant Trunk Technique for Acute Type A Aortic Dissection with Isolated Left Vertebral Artery].
Kyobu Geka
August 2025
Department of Cardiovascular Surgery, Tsukazaki Hospital, Himeji, Japan.
We report a case of acute type A aortic dissection (ATAAD) with an isolated left vertebral artery (ILVA), and our successful surgical treatment with a fenestrated frozen elephant trunk (FET). A 56-year-old man was referred to our department for chest and back pain. Contrast enhanced computed tomography (CT) revealed ATAAD.
View Article and Find Full Text PDFAneurysm shape and sac shrinkage after total arch replacement with frozen elephant trunk for true aortic arch aneurysm.
Interdiscip Cardiovasc Thorac Surg
August 2025
Department of Cardiovascular Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Objectives: This study aimed to evaluate midterm outcomes and identify predictors of sac shrinkage following total arch replacement with a frozen elephant trunk (TAR-FET) for true aortic arch aneurysms.
Methods: A retrospective analysis was conducted on 28 patients who underwent elective TAR-FET for true arch aneurysms between July 2014 and March 2022. Postoperative sac changes on CT were categorized as shrinkage (≥5 mm reduction), enlargement (≥5 mm increase), or no change (<5 mm change).
Total aortic arch replacement using the Thoraflex Hybrid device: evolution from investigational to federally approved use in the United States.
Ann Cardiothorac Surg
July 2025
Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Background: After the US Food and Drug Administration (FDA) approved the Thoraflex Hybrid device in April 2022, hybrid devices to facilitate total arch replacement (TAR) became commercially available in the United States. However, little is known about how the Thoraflex device has been used since then. We present our experience (2016-2025) with this device.
View Article and Find Full Text PDF