Total Arch Replacement and Frozen Elephant Trunk for Acute Complicated Type B Dissection.

Axtell, Andrea; Eagleton, Matthew; Conrad, Mark; Isselbacher, Eric; Sundt, Thoralf; Jassar, Arminder · Ann Thorac Surg · 2020

case_series · Level IV

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Abstract

The current management of acute complicated type B aortic dissection is a combination of medical therapy and endovascular repair. Endovascular repair is not feasible when the dissection extends into the aortic arch. We describe 3 patients with acute type B aortic dissection complicated by retrograde arch extension and visceral malperfusion who were successfully treated with a total arch replacement and frozen elephant trunk.

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