CC BY 4.0 · Aorta (Stamford) 2014; 02(02): 87-90
DOI: 10.12945/j.aorta.2014.13-057
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Multibranched Frozen Elephant Trunk with Left Subclavian Artery Cannulation

Gian Luca Martinelli
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
,
Alessandro Vivacqua
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
,
Maurizio Braccio
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
,
Attilio Cotroneo
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
,
Pierpaolo Greco
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
,
Mauro Cassese
1   Department of Cardiovascular Surgery, Clinica Santa Maria, Bari, Italy
› Author Affiliations
Further Information

Publication History

16 November 2013

12 March 2014

Publication Date:
24 September 2018 (online)

Abstract

Patients with aortic pathology involving the ascending aorta, the arch, and the descending aorta present a complex surgical challenge. A one-step hybrid procedure with ascending aorta repair, arch debranching, and frozen elephant trunk is reported in five patients. Left subclavian artery side graft cannulation is used to perfuse the spinal cord during circulatory arrest time.

 
  • References

  • 1 Kato M, Ohnishi K, Kaneko M, Ueda T, Kishi D, Mizushima T. , et al. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation 1996; 94 (9 Suppl) II188-II193
  • 2 Criado FJ, Clark NS, Barnatan MF. Stent graft repair in the aortic arch and descending thoracic aorta: a 4-year experience. J Vasc Surg 2002; 36: 1121-1128 . 10.1067/mva.2002.129649
  • 3 Karck M, Chavan A, Hagl C, Friedrich H, Galanski M, Haverich A. The frozen elephant trunk technique: a new treatment for thoracic aortic aneurysms. J Thorac Cardiovasc Surg 2003; 125: 1550-1553 . 10.1016/S0022-5223(03)00045-X
  • 4 Flores J, Kunihara T, Shiiya N, Yoshimoto K, Matsuzaki K, Yasuda K. Extensive deployment of the stented elephant trunk is associated with an increased risk of spinal cord injury. J Thorac Cardiovasc Surg 2006; 131: 336-342 . 10.1016/j.jtcvs.2005.09.050
  • 5 Shimamura K, Kuratani T, Matsumiya G, Shirakawa Y, Takeuchi M, Takano H. , et al. Hybrid endovascular aortic arch repair using branched endoprosthesis: the second-generation “branched” open stent-grafting technique. J Thorac Cardiovasc Surg 2009; 138: 46-52 ; discussion 52-53. 10.1016/j.jtcvs.2009.03.025
  • 6 Di Bartolomeo R, Di Marco L, Armaro A, Marsilli D, Leone A, Pilato E. , et al. Treatment of complex disease of the thoracic aorta: the frozen elephant trunk technique with the E-vita open prosthesis. Eur J Cardiothorac Surg 2009; 35: 671-675 ; discussion 675-676. 10.1016/j.ejcts.2008.12.010
  • 7 Pochettino A, Brinkman WT, Moeller P, Szeto WY, Moser W, Cornelius K. , et al. Antegrade thoracic stent grafting during repair of acute DeBakey I dissection prevents development of thoracoabdominal aortic aneurysms. Ann Thorac Surg 2009; 88: 482-489 ; discussion 489-490. 10.1016/j.athoracsur.2009.04.046
  • 8 Uchida N, Shibamura H, Katayama A, Shimada N, Sutoh M, Ishihara H. Operative strategy for acute type A aortic dissection: ascending aortic or hemiarch versus total arch replacement with frozen elephant trunk. Ann Thorac Surg 2009; 87: 773-777 . 10.1016/j.athoracsur.2008.11.061