Frozen Elephant Trunk: A technique which can be offered in complex pathology to fix the whole aorta in one setting

Abstract

We report a case of treating complex aortic pathology with the use of the Frozen Elephant Trunk technique in a patient with chronic type B aortic dissecting aneurysm associated with arch and ascending aorta dilatation, proximal aortic disease and coronary disease. The case was further complicated due to the involvement of the abdominal vessels and preexisting femoral to femoral crossover bypass. In addition the patient had a tracheostomy for laryngeal cancer.We emphasize the role of the Frozen Elephant Trunk to fix the whole aorta in one setting with special attention given to the changes taking place in vascular perfusion following correction and reconstitution of the true lumen.

“Proximalization is Advancement”—Zone 3 Frozen Elephant Trunk vs Zone 2 Frozen Elephant Trunk: A Literature Review

“…The stent graft in the DTA can block the intercostal arteries making the collateral circulation from the LSA vital to preserve the spinal cord. 28,29 Hence, any damage or complications in LSA re-implantation can be fatal for the spinal cord. Thus, re-implantation of the LSA is of vital importance, but a challenging task in FET procedure.…”