Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Frozen Elephant Trunk: A technique which can be offered in complex pathology to fix the whole aorta in one setting. | Kokotsakis et al. Journal of Cardiothoracic Surgery 2011 6 66 http content 6 1 66 JCTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Frozen Elephant Trunk A technique which can be offered in complex pathology to fix the whole aorta in one setting John Kokotsakis1 Vania Anagnostakou2 Theodoros Kratimenos2 Hutan Ashrafian3 and Thanos Athanasiou3 Abstract We report a case of treating complex aortic pathology with the use of the Frozen Elephant Trunk technique in a patient with chronic type B aortic dissecting aneurysm associated with arch and ascending aorta dilatation proximal aortic disease and coronary disease. The case was further complicated due to the involvement of the abdominal vessels and preexisting femoral to femoral crossover bypass. In addition the patient had a tracheostomy for laryngeal cancer. We emphasize the role of the Frozen Elephant Trunk to fix the whole aorta in one setting with special attention given to the changes taking place in vascular perfusion following correction and reconstitution of the true lumen. Keywords Aorta Frozen Elephant Trunk Dissection Aneurysm Background The optimal surgical management of chronic type B dissecting aneurysms concomitant with proximal aortic and cardiac pathology is controversial 1 . A conventional single-stage procedure with combined incisions thoraco-sternotomy or bilateral anterior thoracotomy is associated with increased morbidity. A staged procedure may be used but death due to rupture of the remaining aneurysmal aorta during the interval between the first and second stages of the procedure have been recorded 2 . Arch debranching with stent grafting seems to require a similar arch exposure with compromised durability. We report the surgical treatment of a patient with complex pathology in one stage using the frozen elephant trunk FET procedure. Case Presentation A 65-year-old man with hypertension was admitted to our hospital because of back pain due to a large 9
