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August 28, 2020Turkish Journal of Thoracic and Cardiovascular SurgeryOpen Access

The frozen elephant trunk technique in acute DeBakey type I aortic dissection

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Key result

The frozen elephant trunk technique is a valuable treatment option for acute DeBakey type I aortic dissection that promotes remodeling of the proximal descending thoracic aorta.

Why the study?

Postoperative in-hospital mortality and morbidity remain substantial for acute DeBakey type I aortic dissection, leading to the use of the frozen elephant trunk technique to address inaccessible descending thoracic aorta during arch repair.

Population

Patients with acute DeBakey type I aortic dissection

Comparison

Frozen elephant trunk technique

Design

Review

Authors

DÇDavut ÇekmecelioğluCleveland Clinic

Discussion

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Implication

FET extends arch repair in acute type I dissection where mortality remains high; leaves open optimal selection and outcomes without randomized data.

Structured PICO

P
Population
Patients with acute DeBakey type I aortic dissection
I
Intervention
Frozen elephant trunk technique

The frozen elephant trunk technique is a viable treatment option for acute DeBakey type I aortic dissection, designed to extend repair into the proximal descending thoracic aorta and facilitate management of the residual native aorta.

Limitations

  • Further investigations are needed to identify appropriate patients and anatomic criteria.
  • Need to better understand the potentially enhanced risk of spinal cord ischemia.

Cite This Study

Davut Çekmecelioğlu (2020) conducted a review in Acute DeBakey type I aortic dissection. Frozen elephant trunk (FET) technique vs. Conventional elephant trunk (cET) or standard hemiarch repair was evaluated. The frozen elephant trunk technique is a valuable treatment option for acute DeBakey type I aortic dissection that promotes remodeling of the proximal descending thoracic aorta.

synapsesocial.com/papers/6a950541a9fda6dc960f3706https://doi.org/10.5606/tgkdc.dergisi.2020.20462
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-term experience with the E-vita Open hybrid graft in complex thoracic aortic disease†2016 · 90 citations
  2. 2Patency of distal false lumen in acute dissection: extent of resection and prognosis2006 · 48 citations
  3. 3Long-term outcomes of total arch replacement with the non-frozen elephant trunk technique for Stanford Type A acute aortic dissection†2018 · 23 citations