True-lumen and false-lumen diameter changes in the downstream aorta after frozen elephant trunk implantation

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Tim BergerMartin Czerny

Abstract

To evaluate early and mid-term clinical outcomes and to assess the potential of the frozen elephant trunk technique to induce remodelling of downstream aortic segments in acute and chronic thoracic aortic dissections. Over a 4-year period, 65 patients (48 men, aged 61 ± 12 years) underwent total aortic arch replacement using the frozen elephant trunk technique for acute (n = 31) and chronic (n = 34) thoracic aortic dissections at our institution. We assessed diameter changes at 3 levels: the L1 segment at the stent graft level; the L2 segment at the thoraco-abdominal transition level and the L3 segment at the coeliac trunk level. True-lumen (TL) and false-lumen (FL) diameter changes were assessed at each level. Fifty-six percent of patients had already undergone previous aortic or cardiac surgery. In-hospital mortality was 6%. Symptomatic spinal cord injury was not observed in this series. During a mean follow-up of 12 ± 12 months, late death was observed in 6% of patients. Aortic reinterventions in downstream aortic segments were performed in 28% at a mean of 394 ± 385 days. TL expansion and FL shrinkage were measured in all segments and were observed at each level. This effect was the most pronounced at the level of the stent...Continue Reading

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Citations

Mar 8, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tim BergerRoman Gottardi
Aug 31, 2019·General Thoracic and Cardiovascular Surgery·Daijiro HoriAtsushi Yamaguchi
Nov 1, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masahiko FujiiYuta Sugahara
Nov 23, 2019·Interactive Cardiovascular and Thoracic Surgery·Hans-Hinrich SieversFriedhelm Beyersdorf
Oct 11, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tim BergerMartin Czerny
Jun 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Luca Di MarcoDavide Pacini
Oct 3, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Maximilian KreibichMartin Czerny
Feb 7, 2021·Journal of Cardiac Surgery·Callum HowardMohammad Bashir
Mar 7, 2021·Interactive Cardiovascular and Thoracic Surgery·Tim BergerMartin Czerny
Jun 10, 2019·The Journal of Thoracic and Cardiovascular Surgery·Joseph S Coselli
Apr 1, 2019·The Journal of Thoracic and Cardiovascular Surgery·Maximilian KreibichMartin Czerny
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Apr 18, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Markus LiebrichVladimir Voth
May 7, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin CzernyBartosz Rylski
May 19, 2021·The Journal of Thoracic and Cardiovascular Surgery·Maximilian KreibichBartosz Rylski
Jul 16, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maximilian KreibichBartosz Rylski
Aug 12, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Konstantinos TsagakisArjang Ruhparwar
Jul 23, 2019·Journal of Vascular Surgery·Evan C WerlinJade S Hiramoto

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