Minimally invasive approach for aortic arch surgery employing the frozen elephant trunk technique

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Ali El-Sayed AhmadAndreas Zierer

Abstract

Classically, repair of extensive thoracic aortic pathologies including the aortic arch and descending aorta required two separate major surgical procedures via full sternotomy and a subsequent left lateral thoracotomy. We describe herein our preliminary institutional experience with minimally invasive single-stage extended thoracic aortic replacement employing the frozen elephant trunk (FET) technique via partial upper sternotomy (PUS) in 14 patients. Between December 2013 and January 2015, 14 consecutive patients with elective indications for FET underwent minimally invasive FET via PUS (PUS-FET) during moderate systemic hypothermia (28°C) and selective antegrade cerebral perfusion (ACP) using the E-vita Open® hybrid prosthesis (Jotec GmbH, Hechingen, Germany). The patients' mean age was 66 ± 6 years, and 9 patients (64%) were male. The arch vessels were reimplanted en bloc in all patients. Clinical data were prospectively entered into our institutional database. The surgical procedure was successful in all patients with no need for conversion to full sternotomy. An additional David procedure was performed in 1 patient, whereas 2 patients received a concomitant Bentall procedure. There was no perioperative death or 30-day mort...Continue Reading

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Citations

Jan 30, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin Czerny
Mar 31, 2018·General Thoracic and Cardiovascular Surgery·Yosuke InoueJunjiro Kobayashi
Aug 2, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Nora GoebelUlrich F W Franke
May 24, 2020·Journal of Cardiac Surgery·Mahmoud ElghannamPeter Haldenwang
Nov 12, 2019·Vascular and Endovascular Surgery·Vishal N ShahKonstadinos A Plestis

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