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Open Access 01-12-2014 | Case report

Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique

Authors: John Kokotsakis, Dimitrios Tassopoulos, Jacob Ttofi, Leanne Harling, Hutan Ashrafian, Konstantinos Velissarios, Theodore Kratimenos, Stratos Anagnostou, Thanos Athanasiou

Published in: Journal of Cardiothoracic Surgery | Issue 1/2014

Abstract

Ruptured Penetrating Ulcer and aortic arch pseudo-aneurysm is a rare condition but one which carries a high risk of rupture. We report the case of a 74-year-old man with aortic arch pseudo-aneurysm, in which a Frozen Elephant Trunk procedure was successfully performed. There were no postoperative complications at 6 months follow-up. The Computed Tomography Angiogram demonstrated thrombus formation in the pseudo-aneurysm lumen, with no endoleak on the stented part of the descending thoracic aorta and complete patency of all branches of aortic arch. This case demonstrates that the Frozen Elephant Trunk technique may be the treatment of choice when treating such complex aortic arch lesions provided there is no absolute contraindication to radical surgical intervention. However, long-term clinical efficacy and safety have yet to be confirmed.

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Title: Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique
Authors: John Kokotsakis
Dimitrios Tassopoulos
Jacob Ttofi
Leanne Harling
Hutan Ashrafian
Konstantinos Velissarios
Theodore Kratimenos
Stratos Anagnostou
Thanos Athanasiou
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2014
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-9-68

At a glance: The STEP trials

Springer Medicine

Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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