The frozen elephant trunk technique in acute DeBakey type I aortic dissection

Davut Çekmecelioğlu

doi:10.5606/tgkdc.dergisi.2020.20462

Davut Çekmecelioğlu^1,2, Cüneyt Köksoy¹, Joseph Coselli^1,2

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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