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- W1528902892 abstract "Clinical vignette The frozen elephant trunk (FET) procedure is a hybrid therapy available for the treatment of patients with extensive diseases of the thoracic aorta. This approach combines surgical graft replacement of the aortic arch with stent-grafting of the descending thoracic aorta using a covered stent. Different prostheses have been developed for carrying out this surgery, including the commercially available E-vita open plus prosthesis (Jotec Inc., Hechingen, Germany). This hybrid prosthesis is composed of a distal nitinol-covered stent-graft sutured to a proximal woven polyester tube graft (Figure 1). During lower body circulatory arrest and antegrade selective cerebral perfusion (ASCP), the E-vita open plus prosthesis is antegradely deployed into the descending thoracic aorta through the open aorta, while the proximal graft segment is sutured to the distal aortic stump and used to replace the aortic arch. As shown in the video entitled “FET surgery using the E-vita open plus prosthesis”, this manuscript describes our surgical FET approach with ASCP in detail. The video illustrates the surgical treatment of a 75-year-old man who had previously undergone a Bentall procedure and myocardial revascularization for a DeBakey type 1 acute aortic dissection. The patient was admitted to our hospital 4 years later, at which time computer tomography (CT) angiogram showed a pseudo aneurysm at the distal anastomosis measuring 63 mm, and a residual DeBakey type 1 chronic dissection with severe false lumen dilatation at the proximal descending thoracic aorta (61 mm) (Figure 2)." @default.
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- W1528902892 date "2013-09-01" @default.
- W1528902892 modified "2023-10-11" @default.
- W1528902892 title "Frozen elephant trunk surgery using the E-vita open plus prosthesis." @default.
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- W1528902892 doi "https://doi.org/10.3978/j.issn.2225-319x.2013.09.01" @default.
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