Subject: frozen elephant trunk
Subject: aortic arch
Subject: aneurysm
Subject: aorta
Year: 2020
Type: Article
Title: SINGLE-STAGE TREATMENT OF ANEURYSM OF THE DISTAL AORTIC ARCH AND PROXIMAL DESCENDING AORTA USING THE FROZEN ELEPHANT TRUNK PROCEDURE. CASE REPORT
Author: Sasko Jovev
Author: Vasil Papestiev
Author: Marjan Shokarovski
Author: Stefanija Hadzievska
Author: Nadica Mehmedovic
Author: Nikola Lazovski
Author: Venko Filipce
Author: Petar Risteski
Abstract: Aneurysms of the thoracic aorta involving the distal arch and the proximal descending aorta have traditionally been treated with two open procedures. During the first stage, the aortic arch pathology has been addressed through a median sternotomy. Several weeks or months later, a second stage followed and included completing the repair of the descending aorta through a lateral thoracotomy. We, herein, report a single stage repair of an aneurysm involving the distal aortic arch and the proximal descending aorta using the frozen elephant trunk operative technique. Vascular hybrid stent graft prosthesis, specifically designed for treatment of extensive aortic aneurysms, has been used to replace the arch component and exclude the descending aorta component of the aneurysm through a median sternotomy, using bilateral antegrade cerebral perfusion and mild systemic hypothermia for intraoperative organ protection.
Publisher: Macedonian Academy of Sciences and Arts / Sciendo
Relation: Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Identifier: oai:repository.ukim.mk:20.500.12188/11135
Identifier: http://hdl.handle.net/20.500.12188/11135Identifier: 10.2478/prilozi-2020-0047
