ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
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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