Removal of a frozen elephant trunk using a polyvinyl tube

Gen Thorac Cardiovasc Surg. 2022 May;70(5):506-508. doi: 10.1007/s11748-022-01790-x. Epub 2022 Mar 4.

Abstract

The increasing use of total arch replacement and frozen elephant trunk (FET) is expected to lead to an increase in the prevalence of graft infections requiring replacement involving an FET, which is generally a more invasive procedure than the initial surgery. Herein, we describe a novel method for FET removal using a polyvinyl tube as the storage device. The procedure is completed using the same median sternotomy approach as the initial surgery. We report on the outcomes for six patients. Our procedure is simple to perform and safe and caused no injury to the aorta in our case series.

Keywords: Frozen elephant trunk; Polyvinyl tube; Total arch replacement.

MeSH terms

  • Aorta / surgery
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / surgery
  • Blood Vessel Prosthesis Implantation* / methods
  • Humans
  • Polyvinyls
  • Retrospective Studies

Substances

  • Polyvinyls