Article ; Online: The frozen elephant trunk: seeking a more definitive treatment for acute type a aortic dissection.
2024
Abstract: Objectives: Conventional treatment for type A aortic dissection includes replacement of the ascending aorta with an open distal anastomosis in the hemiarch position. The frozen elephant trunk is a hybrid technique that extends the repair to the ... ...
| Abstract | Objectives: Conventional treatment for type A aortic dissection includes replacement of the ascending aorta with an open distal anastomosis in the hemiarch position. The frozen elephant trunk is a hybrid technique that extends the repair to the descending thoracic aorta. The goal is to improve resolution of malperfusion syndrome and to induce positive aortic remodelling and reduce the need for reintervention on the downstream aorta. We aim to summarize the data on the short and long-term outcomes of this technique. Methods: A thorough search of the literature was conducted isolating all articles dealing with aortic remodelling after the use of frozen elephant trunk in case of type A acute aortic dissection. Keywords "aortic dissection", "frozen elephant trunk", "aortic remodelling" and "false lumen thrombosis" were used. Data for type B and chronic aortic dissections were excluded. Results: Frozen elephant trunk use favorably influences aortic remodelling. The main advantages lie in the exclusion of distal entry tears in either the aortic arch or descending aorta thus restoring antegrade blood flow in the true lumen and inducing false lumen thrombosis. False lumen thrombosis is not only induced at the level of the stent deployment but also lower in the distal descending aorta. Moreover, it offers an adequate landing zone in the mid-descending aorta for second-stage endovascular or open surgical aortic repair, if needed. Conclusions: Frozen elephant trunk can be advantageous in the treatment of acute type A aortic dissection dealing with extended aortic pathology. |
|---|---|
| Language | English |
| Publishing date | 2024-04-27 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 639293-3 |
| ISSN | 1873-734X ; 1010-7940 ; 1567-4258 |
| ISSN (online) | 1873-734X |
| ISSN | 1010-7940 ; 1567-4258 |
| DOI | 10.1093/ejcts/ezae176 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 2303: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.