Use of the frozen elephant trunk technique for type A intramural hematoma

Intramural hematoma (IMH) is a well-recognized type of aortic syndrome with a significant rate of progression more than 60% of cases (1,2). to the most recent European guidelines, treatment of a type A IMH follows the same as for type A aortic dissection (1,3). , in case of aortic arch involvement, a more treatment such as frozen elephant trunk (FET) be considered. The rationale to use this kind of is to prepare for a second stage endovascular , especially in case of distal downstream thoracoabdominal aorta involvement and in young patients. In this , we illustrate the treatment of a type A IMH using the Thoraflex hybrid prosthesis.