Total aortic arch replacement with a novel 4-branched frozen elephant trunk prosthesis: Single-center results of the first 100 patients

Abstract

The Thoraflex Hybrid graft adds to the frozen elephant trunk concept for treating aortic arch and descending aortic disease. Implantation of the Thoraflex Hybrid graft resulted in excellent outcomes and beneficial aortic remodeling during follow-up. This graft increases surgeons' armamentarium in the treatment of complex and diverse aortic arch pathology.

Zone zero hybrid arch exclusion versus open total arch replacement

“…As others have advocated (15), we limit the use of single-stage repair because of the associated risk of spinal cord ischemia. A specific device designed for this approach has been embraced widely in Europe; it involves the use of the Thoraflex hybrid prosthesis (Vascutek Ltd., Inchinnan, Glasgow, UK) (16) and the E-vita open stent-graft (JOTEC GmbH, Hechingen, Germany) (17). A national clinical trial of the Thoraflex hybrid prosthesis is currently underway in the United States (https://clinicaltrials.gov/ ct2/show/NCT02724072).…”

Extended Arch Procedures for Acute Type A Aortic Dissection: A Downstream Problem?

“…Whereas reoperations were required in about 10À15% of proximal repairs, they were required in 14À19% of frozen elephant trunk procedures performed for ATAAD. 28,29…”

Postoperative care in patients with DeBakey type I aortic dissection: criteria of aortic remodeling and risk factors of disease progression

“…(PixmcoSàrl, «Bernex», Швейцария). Оценку ремоделирования аорты в среднеотдаленном периоде выполняли в соответствии с ранее описанными в литературе стандартами [5,6]:…”