Sizing the Frozen Elephant Trunk Based on Aortic Pathology and the Importance of Pre-Operative Imaging-Reference-Cited by-同舟云学术

Sizing the Frozen Elephant Trunk Based on Aortic Pathology and the Importance of Pre-Operative Imaging

Published:2023-10-29 Issue:21 Volume:12 Page:6836
ISSN:2077-0383
Container-title:Journal of Clinical Medicine
language:en
Short-container-title:JCM

Author:

Koulouroudias Marinos¹^ORCID,Velissarios Konstantinos²,Kokotsakis John³,Magouliotis Dimitrios E.⁴^ORCID,Tsipas Pantelis³,Arjomandi Rad Arian⁵^ORCID,Viviano Alessandro⁶,Kourliouros Antonios⁵,Athanasiou Thanos⁷

Affiliation:

1. Department of Cardiac Surgery, Nottingham University Hospitals NHS Trust, Nottingham NG5 1PB, UK

2. Medical Horizons, 15562 Cholargos, Greece

3. Department of Cardiac Surgery, Evangelismos Hospital, 11527 Athens, Greece

4. Department of Cardiothoracic Surgery, Larissa General University Hospital, 41334 Larissa, Greece

5. Department of Cardiac Surgery, Oxford University Hospitals, Oxford OX3 9DU, UK

6. Department of Cardiac Surgery, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, UK

7. Department of Surgery and Cancer, Imperial College London, London W2 1NY, UK

Abstract

The frozen elephant trunk is a formidable tool for the aortovascular surgeon. An appreciation of how to size the graft in different pathologies is key in achieving optimal results. Herein, we demonstrate worked examples of how imaging can be used to plan for a frozen elephant trunk and discuss the nuisances and uncertainties of sizing using three index cases: Type A aortic dissection, distal thoracic aortic aneurysm and chronic dissection.

Publisher

MDPI AG

Subject

General Medicine

Link

https://www.mdpi.com/2077-0383/12/21/6836/pdf

Reference32 articles.

1. Extensive aortic replacement using “elephant trunk” prosthesis;Borst;Thorac. Cardiovasc. Surg.,1983

2. The frozen elephant trunk technique: A new treatment for thoracic aortic aneurysms;Karck;J. Thorac. Cardiovasc. Surg.,2003

3. Current status and recommendations for use of the frozen elephant trunk technique: A position paper by the Vascular Domain of EACTS;Shrestha;Eur. J. Cardiothorac. Surg.,2015

4. Review of frozen elephant trunk repair with the Thoraflex Hybrid device;Chauvette;Future Cardiol.,2021

5. From E-VITA open plus to E-VITA NEO and E-NOVIA;Jakob;J. Card. Surg.,2021