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CC BY-NC-ND 4.0 · Aorta (Stamford) 2024; 12(03): 077-079
DOI: 10.1055/s-0045-1802989
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Covering Anastomosis to Frozen Elephant Trunk in Secondary Downstream Aorta Replacement

Fumiya Chubachi 
1   Department of Cardiovascular Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan
,
Akihiro Yoshitake 
1   Department of Cardiovascular Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan
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Funding None.
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Abstract

There has been an increasing number of secondary downstream aorta replacements following aortic arch repair using a frozen elephant trunk (FET). We present an anastomosis technique to join a frozen elephant graft to a downstream prosthetic graft. The FET is inserted into the downstream graft with continuous sutures, with a two-bite Dacron graft added to the frozen elephant side. This technique may prevent anastomotic leakage between two grafts.

Keywords

aortic replacement - total arch replacement - prosthetic graft - FET stent graft


Publication History

Received: 10 December 2023

Accepted: 10 October 2024

Article published online:
17 February 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Folkmann S, Weiss G, Pisarik H, Czerny M, Grabenwoger M. Thoracoabdominal aortic aneurysm repair after frozen elephant trunk procedure. Eur J Cardiothorac Surg 2015; 47 (01) 115-119 , discussion 119
    CrossrefPubMedSearch in Google Scholar
  • 2 Yoshitake A, Tochii M, Tokunaga C. et al. Early and long-term results of total arch replacement with the frozen elephant trunk technique for acute type A aortic dissection. Eur J Cardiothorac Surg 2020; 58 (04) 707-713
    CrossrefPubMedSearch in Google Scholar
  • 3 Tokunaga C, Kumagai Y, Chubachi F. et al. Total arch replacement using frozen elephant trunk technique with Frozenix for distal aortic arch aneurysms. Interact Cardiovasc Thorac Surg 2022; 35 (01) ivac038
    CrossrefPubMedSearch in Google Scholar
  • 4 Gkremoutis A, Zierer A, Schmitz-Rixen T. et al. Staged treatment of mega aortic syndrome using the frozen elephant trunk and hybrid thoracoabdominal repair. J Thorac Cardiovasc Surg 2017; 154 (06) 1842-1849
    CrossrefPubMedSearch in Google Scholar
  • 5 Matsuo S, Oda K, Motoyoshi N, Saiki Y. Modified cuffed anastomosis technique to treat pseudoaneurysms following thoracic endovascular aortic repair. Interact Cardiovasc Thorac Surg 2012; 14 (05) 677-679
    CrossrefPubMedSearch in Google Scholar