Key result
The frozen elephant trunk technique is a valid option for acute type I and complicated type III dissection, achieving 96% freedom from secondary major surgery over a 5-year follow-up period.
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The frozen elephant trunk technique is a major surgical approach for complex aortic pathologies that requires extensive experience in arch surgery.
The frozen elephant trunk technique (FET) has become an established surgical strategy to treat ascending, arch and descending aortic pathologies through median sternotomy. Over time, the indications elaborated for its application included acute and chronic dissections, as well as complex aneurysmal disease (1). There is no doubt that this surgical approach represents major surgery, particularly as it necessitates prolonged perfusion and ischemic times as well as extensive experience in arch surgery.
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Heinz Jakob (2013) conducted an editorial in Acute type I and complicated type III aortic dissection. Frozen elephant trunk (FET) technique was evaluated on Freedom from secondary thoracoabdominal surgery at 5 years. The frozen elephant trunk technique is a valid option for acute type I and complicated type III dissection, achieving 96% freedom from secondary major surgery over a 5-year follow-up period.
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