‘Double layer’ frozen elephant trunk with balloon endoclamping: a technique to simplify the 2-stage open repair of thoraco-abdominal aortic aneurysms | Zendy

Marco Di Eusanio | Zendy; Paolo Berretta | Zendy; Mariano Cefarelli | Zendy; Emanuele Gatta | Zendy

Open Access

‘Double layer’ frozen elephant trunk with balloon endoclamping: a technique to simplify the 2-stage open repair of thoraco-abdominal aortic aneurysms

Author(s) -

Marco Di Eusanio,

Paolo Berretta,

Mariano Cefarelli,

Emanuele Gatta

Publication year - 2020

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezaa070

Subject(s) - elephant trunks , medicine , surgery , trunk , balloon , dissection (medical) , descending aorta , abdominal aorta , aortic dissection , anastomosis , thoracic aorta , aorta , biology , ecology

Staged replacement of the aortic arch and thoraco-abdominal aorta (TAA) with a frozen elephant trunk followed by TAA repair is a valuable treatment for patients with chronic TAA dissection. However, in patients with an unclampable descending thoracic aorta, the retrieval of the trunk can be problematic and the proximal stent graft-to-graft anastomosis technically challenging. Here we present our ‘double layer’ frozen elephant trunk technique to treat patients with TAA dissection.

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