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Reflection From UK Aortic Group: Frozen Elephant Trunk Technique as Optimal Solution in Type A Acute Aortic Dissection

Tuesday, April 16, 2019

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Source Name: Seminars in Thoracic and Cardiovascular Surgery


Giovanni Mariscalco, Haris Bilal, Pedro Catarino, Leonidas Hadjinikolaou, Manoj Kuduvalli, Mark Field, Jorge Mascaro, Aung Y. Oo, Cesare Quarto, James Kuo, Geoff Tsang

The UK Aortic Group report their experience with the frozen elephant trunk (FET) repair for 66 acute type A aortic dissection (ATAAD) patients using the Thoraflex Hybrid graft at eight UK high-volume aortic centers. The in-hospital mortality was 12% (8/66). Postoperative temporary or permanent neurological events and temporary renal replacement therapy occurred in 17% and 20%, respectively. No spinal cord injury events were documented. These data were similar to those reported in literature in the two largest experiences with the use of FET in patients with ATAAD (in-hospital/30-day mortality: 11-12%). This initial experience demonstrated that FET can potentially be adopted as standard approach in life-threatening aortic diseases, with acceptable complication and mortality rates.

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