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September 10, 2025CureusOpen Access

Emergency Endovascular Rescue Using Fenestration for False Lumen Deployment of the Frozen Elephant Trunk in Aortic Rupture

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Authors

TIT. ItoFujita Health UniversityKSKenichiro SunoKushiro City General HospitalYKYasuhiro KamikuboKushiro City General Hospital

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Overview

Observational analysis demonstrates improved outcomes using endovascular fenestration in aortic dissection emergencies, suggesting critical interventions could save lives.

Key Points

  • Emergency endovascular fenestration successfully controlled bleeding from a ruptured aorta.
  • Total arch replacement with frozen elephant trunk managed the proximal dissection entry effectively.
  • Intraoperative use of fluoroscopic guidance was essential for the rapid fenestration technique.
  • This case illustrates the life-saving potential of quick interventions in critical aortic emergencies.

Cite This Study

Ito et al. (2025) studied this question.

synapsesocial.com/papers/68c1a5f254b1d3bfb60dfaeehttps://doi.org/10.7759/cureus.89094
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bail-out thoracic endovascular aortic repair for incorrect deployment of frozen elephant trunk into the false lumen2020 · 8 citations
  2. 2Balloon Fracture Fenestration after Frozen Elephant Trunk Deployment to Eliminate Retrograde False-Lumen Perfusion in a Type B Dissection–Complicated Arch Aneurysm2026
  3. 3The elephant’s Achilles’ heel: a case report of acute obstruction of frozen elephant trunk after proximal aortic dissection repair2024 · 1 citations
  4. 4Endovascular Salvage After False Lumen Misdeployment of Thoracic Endovascular Aortic Repair or the Frozen Elephant Trunk in Aortic Dissection: A Case Report of Two Patients2026
  5. 5Endovascular treatment after the fenestrated frozen elephant trunk technique2022 · 4 citations