Zone 0 frozen elephant trunk for type A retrograde acute aortic dissection following endovascular stenting of the arch

Stephanie M Jiang; Syed M Ali Hassan; Giang Nguyen; Gianluigi Bisleri

doi:10.1111/jocs.15423

Zone 0 frozen elephant trunk for type A retrograde acute aortic dissection following endovascular stenting of the arch

J Card Surg. 2021 Jun;36(6):2124-2126. doi: 10.1111/jocs.15423. Epub 2021 Feb 22.

Authors

Stephanie M Jiang¹, Syed M Ali Hassan¹, Giang Nguyen², Gianluigi Bisleri^{1

3}

Affiliations

¹ Department of Surgery, Division of Cardiac Surgery, Queen's University, Kingston, Ontario, Canada.
² Department of Diagnostic Radiology, Queen's University, Kingston, Ontario, Canada.
³ Department of Surgery, Division of Cardiac Surgery, University of Toronto, Toronto, Ontario, Canada.

PMID: 33616243
DOI: 10.1111/jocs.15423

Abstract

A 70-year-old man underwent the frozen elephant trunk (FET) procedure with zone 0 debranching following a failed endovascular repair for type B aortic dissection and a stent-graft deployment in zone 1 for a retrograde type A aortic dissection. Zone 0 deployment is a novel approach that is valuable as a bailout strategy in urgent cases and it can potentially improve the technical feasibility of the FET while minimizing its ischemic complications.

Keywords: aortic dissection; aortic surgery; frozen elephant trunk; zone 0.

Publication types

Case Reports

MeSH terms

Aged
Aorta, Thoracic / surgery
Aortic Aneurysm, Thoracic* / diagnostic imaging
Aortic Aneurysm, Thoracic* / surgery
Aortic Dissection* / diagnostic imaging
Aortic Dissection* / surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation*
Endovascular Procedures*
Humans
Male
Stents