Frozen Elephant Trunk: Minimally Invasive Implantation of a New Trifurcated Hybrid Aortic Prosthesis

Abstract

Implantation of hybrid prostheses using the frozen elephant trunk technique has become a standard procedure for aortic arch and proximal descending aorta pathologies. New devices have been introduced to reduce surgical complexity by enabling the frozen elephant trunk technique to be performed in proximal segments of the aorta. This facilitates a minimally invasive approach and provides a safe and durable aortic arch repair. We herein report on the first human experience with the new trifurcated frozen elephant trunk aortic prosthesis, E-vita OPEN NEO (CryoLife/JOTEC GmbH, Hechingen, Germany), using a minimally invasive technique.