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10.5606/tgkdc.dergisi.2020.20462
The frozen elephant trunk technique in acute DeBakey type I aortic dissection
Davut Çekmecelioğlu1,2, Cüneyt Köksoy1, Joseph Coselli1,2
1Department of Surgery, Baylor College of Medicine, Texas, U
2Department of Cardiovascular Surgery, Texas Heart Institute, Texas, USA
DOI : 10.5606/tgkdc.dergisi.2020.20462
Although advances in the field of cardiovascular surgery have
improved outcomes for patients with acute DeBakey type I aortic
dissection, postoperative in-hospital mortality and morbidity
remain substantial. The frozen elephant trunk technique has
become a treatment option for this disease and was developed
primarily to extend repair into the proximal descending thoracic
aorta during aortic arch repair (because the descending thoracic
aorta is largely inaccessible via median sternotomy), thus
avoiding, delaying, or facilitating subsequent repair of residual
native aorta. In this review, we discuss the evidence for and
future development of frozen elephant trunk reconstruction for
acute DeBakey type I aortic dissection.
Keywords : Acute type I aortic dissection, aortic arch, descending thoracic aorta, frozen elephant trunk, hybrid operation
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