Published in:
01-08-2018 | How to Do It
Devising a technique for distal anastomosis during total arch replacement using the frozen elephant trunk technique: reverse stepwise anastomosis
Authors:
Hidenori Sako, Hideyuki Tanaka, Masato Morita, Tetsushi Takayama
Published in:
General Thoracic and Cardiovascular Surgery
|
Issue 8/2018
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Abstract
Frozen elephant technique is an effective procedure used to repair complex thoracic aortic disease involving the aortic arch and the descending aorta, or to treat aortic dissection. However, the technique often requires some creativity to properly place the stent graft and anastomose the graft to the aorta. We recently used the J Graft FROZENIX® (Japan Lifeline Co., Ltd., Tokyo, Japan) in total arch replacement, and devise a technique for distal anastomosis (called “reverse stepwise anastomosis”) that was simple and easy and caused minimal bleeding.