SINGLE-STAGE TREATMENT OF ANEURYSM OF THE DISTAL AORTIC ARCH AND PROXIMAL DESCENDING AORTA USING THE FROZEN ELEPHANT TRUNK PROCEDURE. CASE REPORT
Journal
Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Date Issued
2020-03
Author(s)
Marjan Shokarovski
Stefanija Hadzievska
Nadica Mehmedovic
Nikola Lazovski
Petar Risteski
DOI
10.2478/prilozi-2020-0047
Abstract
Aneurysms of the thoracic aorta involving the distal arch and the proximal descending aorta have traditionally been treated with two open procedures. During the first stage, the aortic arch pathology has
been addressed through a median sternotomy. Several weeks or months later, a second stage followed and
included completing the repair of the descending aorta through a lateral thoracotomy.
We, herein, report a single stage repair of an aneurysm involving the distal aortic arch and the proximal
descending aorta using the frozen elephant trunk operative technique. Vascular hybrid stent graft prosthesis,
specifically designed for treatment of extensive aortic aneurysms, has been used to replace the arch component and exclude the descending aorta component of the aneurysm through a median sternotomy, using
bilateral antegrade cerebral perfusion and mild systemic hypothermia for intraoperative organ protection.
been addressed through a median sternotomy. Several weeks or months later, a second stage followed and
included completing the repair of the descending aorta through a lateral thoracotomy.
We, herein, report a single stage repair of an aneurysm involving the distal aortic arch and the proximal
descending aorta using the frozen elephant trunk operative technique. Vascular hybrid stent graft prosthesis,
specifically designed for treatment of extensive aortic aneurysms, has been used to replace the arch component and exclude the descending aorta component of the aneurysm through a median sternotomy, using
bilateral antegrade cerebral perfusion and mild systemic hypothermia for intraoperative organ protection.