Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All?
Acute type A aortic dissection (ATAAD) is an indisputable emergency with very poor outcomes without surgical treatment. Although the aortic arch is often involved in the aortic dissection, its optimal management during surgical therapy remains uncertain. A conservative tear-oriented approach has tra...
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doaj-e236659a718e4d018f98e0e7ce5ed0e62021-09-26T00:39:16ZengMDPI AGMedicina1010-660X1648-91442021-08-015789489410.3390/medicina57090894Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All?Pierpaolo Chivasso0Generoso Mastrogiovanni1Mario Miele2Vito Domenico Bruno3Antonio Rosciano4Antonio Pio Montella5Donato Triggiani6Mario Colombino7Francesco Cafarelli8Rocco Leone9Paolo Masiello10Severino Iesu11Department of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyTranslational Health Science Department, Bristol Medical School, University of Bristol, Bristol BS8 1TH, UKDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyDepartment of Emergency Cardiac Surgery, University Hospital San Giovanni di Dio e Ruggi d’Aragona, 84126 Salerno, ItalyAcute type A aortic dissection (ATAAD) is an indisputable emergency with very poor outcomes without surgical treatment. Although the aortic arch is often involved in the aortic dissection, its optimal management during surgical therapy remains uncertain. A conservative tear-oriented approach has traditionally been adopted, limiting the procedure to the ascending aorta (or hemiarch) replacement. However, dilation of the residual dissected aorta and subsequent rupture may occur, requiring further intervention in the future. In the last two decades, the frozen elephant trunk (FET) technique has become a valid and attractive option to treat aortic disease when the arch and the thoracic aorta are involved, both in elective and in emergency settings. Here, we report a review of the contemporary literature regarding the short- and long-term outcomes of the FET technique in ATAAD repair.https://www.mdpi.com/1648-9144/57/9/894type A aortic dissectionaortic arch surgeryFETfrozen elephant trunkhybrid arch surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pierpaolo Chivasso Generoso Mastrogiovanni Mario Miele Vito Domenico Bruno Antonio Rosciano Antonio Pio Montella Donato Triggiani Mario Colombino Francesco Cafarelli Rocco Leone Paolo Masiello Severino Iesu |
spellingShingle |
Pierpaolo Chivasso Generoso Mastrogiovanni Mario Miele Vito Domenico Bruno Antonio Rosciano Antonio Pio Montella Donato Triggiani Mario Colombino Francesco Cafarelli Rocco Leone Paolo Masiello Severino Iesu Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? Medicina type A aortic dissection aortic arch surgery FET frozen elephant trunk hybrid arch surgery |
author_facet |
Pierpaolo Chivasso Generoso Mastrogiovanni Mario Miele Vito Domenico Bruno Antonio Rosciano Antonio Pio Montella Donato Triggiani Mario Colombino Francesco Cafarelli Rocco Leone Paolo Masiello Severino Iesu |
author_sort |
Pierpaolo Chivasso |
title |
Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? |
title_short |
Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? |
title_full |
Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? |
title_fullStr |
Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? |
title_full_unstemmed |
Frozen Elephant Trunk Technique in Acute Type A Aortic Dissection: Is It for All? |
title_sort |
frozen elephant trunk technique in acute type a aortic dissection: is it for all? |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X 1648-9144 |
publishDate |
2021-08-01 |
description |
Acute type A aortic dissection (ATAAD) is an indisputable emergency with very poor outcomes without surgical treatment. Although the aortic arch is often involved in the aortic dissection, its optimal management during surgical therapy remains uncertain. A conservative tear-oriented approach has traditionally been adopted, limiting the procedure to the ascending aorta (or hemiarch) replacement. However, dilation of the residual dissected aorta and subsequent rupture may occur, requiring further intervention in the future. In the last two decades, the frozen elephant trunk (FET) technique has become a valid and attractive option to treat aortic disease when the arch and the thoracic aorta are involved, both in elective and in emergency settings. Here, we report a review of the contemporary literature regarding the short- and long-term outcomes of the FET technique in ATAAD repair. |
topic |
type A aortic dissection aortic arch surgery FET frozen elephant trunk hybrid arch surgery |
url |
https://www.mdpi.com/1648-9144/57/9/894 |
work_keys_str_mv |
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