Key result
Frozen elephant trunk procedures in acute type A aortic dissection warrant caution, as the primary life-threatening risk is pericardial tamponade requiring immediate surgery.
Why the study?
Should the frozen elephant trunk be used cautiously in patients with acute type A aortic dissection?
Should the frozen elephant trunk be used cautiously in patients with acute type A aortic dissection?
The author cautions against the routine use of the frozen elephant trunk in acute type A aortic dissection, emphasizing the immediate life-threatening risk of pericardial tamponade.
Already at the second meeting Aortic meeting in Bologna, I showed a slide confirming that type A dissection is a life-threatening disease with high rate of early mortality. What threatens the patients is blood in the pericardium causing tamponade. In Germany and The Netherlands patients are operated on within hours.
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W. J. Morshuis (2018) studied this question. Frozen elephant trunk procedures in acute type A aortic dissection warrant caution, as the primary life-threatening risk is pericardial tamponade requiring immediate surgery.
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