Staged replacement of the aortic arch and thoraco-abdominal aorta (TAA) with a frozen elephant trunk followed by TAA repair is a valuable treatment for patients with chronic TAA dissection. However, in patients with an unclampable descending thoracic aorta, the retrieval of the trunk can be problematic and the proximal stent graft-to-graft anastomosis technically challenging. Here we present our 'double layer' frozen elephant trunk technique to treat patients with TAA dissection.
'Double layer' frozen elephant trunk with balloon endoclamping: A technique to simplify the 2-stage open repair of thoraco-abdominal aortic aneurysms / Di Eusanio, M.; Berretta, P.; Cefarelli, M.; Gatta, E.. - In: EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY. - ISSN 1010-7940. - ELETTRONICO. - 58:2(2020), pp. 389-391. [10.1093/ejcts/ezaa070]