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. 2018 Apr 20:4:73.
doi: 10.21037/jovs.2018.03.21. eCollection 2018.

Why to be cautious with the use of the frozen elephant trunk in acute type A aortic dissection

William J Morshuis  1
Affiliations

Why to be cautious with the use of the frozen elephant trunk in acute type A aortic dissection

William J Morshuis. J Vis Surg. .
No abstract available

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Conflict of interest statement

Conflicts of Interest: The author is consultant with Vascutek Inc.

Figures

Figure 1
Figure 1
Arch replacement with a classical elephant trunk (ET).
Figure 2
Figure 2
By closing of the entry tear we may achieve the same results as in stenting a type B dissection with opening the true lumen and improvement of mesenteric and distal perfusion, as well as a thrombosing false lumen and reducing diameter at follow up.
Figure 3
Figure 3
Persistent proximal false lumen perfusion in an unresected intimal tear (arrow) will likely result in a dilatation of the thoraco-abdominal aorta requiring early re-intervention.
Figure 4
Figure 4
Entry far in the arch combined with signs of distal malperfusion, may represent the best indication for frozen elephant trunk.
See this image and copyright information in PMC

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References

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