Journal
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
Volume 51, Issue -, Pages 20-28Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/ejcts/ezw335
Keywords
Aortic arch; Frozen elephant trunk; Elephant trunk; Aortic; Cerebral perfusion
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Treating complex aortic arch disease with proximal and distal aortic segment involvement is challenging. In recent years, different surgical and endovascular techniques have been applied in a single or multiple-stage approach with the aim to cure and simplify these conditions. The first procedure available for this purpose was the conventional elephant trunk technique. Its recent evolution is the frozen elephant trunk, which treats the descending thoracic aorta using the antegrade release of a self-expandable stent graft. In the following review article, we analyse the advantages and drawbacks of both techniques from clinical and practical perspectives.
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