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Case Reports
. 2021 Dec 24;32(2):140-142.
doi: 10.1055/s-0041-1740916. eCollection 2023 Jun.

Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus

Dmitri S Panfilov  1 , Boris N Kozlov  1
Affiliations
Case Reports

Frozen Elephant Trunk Technique to Treat Extensive Thoracic Aortic Mural Thrombus

Dmitri S Panfilov et al. Int J Angiol. .

Abstract

We describe a case report of a 63-year-old man who presented with chronic left-hand weakness and the absence of a pulse in the left arm. Thoracoabdominal computed tomography (CT) revealed an extensive thoracic aortic mural thrombus. Initial anticoagulation therapy did not provide a positive result, so the patient was referred for surgery. Hybrid aortic arch surgery using the frozen elephant trunk technique was performed with excellent early outcomes. A CT performed in the early postoperative period showed that the thrombus was completely excluded from the aortic lumen by the hybrid graft. No thrombus dislodgment was detected. No thrombus recurrence was observed during 19 months of follow-up.

Keywords: aortic thrombus; frozen elephant trunk; thoracic aorta.

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Conflict of interest statement

Conflict of Interest The authors declare no conflicts of interest.

Figures

Fig. 1
Fig. 1
Preoperative three-dimensional and axial computed tomography scans of a 63-year-old male patient with a large sessile thrombus in the aortic arch and descending aorta. Three-dimensional view showing the anterior (left) and posterior planes of the aorta (center). Axial view showing aortic thrombus at the aortic arch level (upper right), the left atrium level (middle right), and the abdominal aorta (lower right).
Fig. 2
Fig. 2
Postoperative three-dimensional and axial computed tomography scans of the aorta. Three-dimensional view showing the anterior (left) and posterior planes of the aorta (center). Axial view showing aortic thrombus at the aortic arch level (upper right), the left atrium level (middle right), and the abdominal aorta (lower right).
See this image and copyright information in PMC

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