posted on 2020-12-14, 20:28authored byRandolph HL Wong, Jacky YK Ho, Mohamad Bashir, Heinz Jakob
Aortic arch disease commonly involves multiple segments, leading to the
need for multi-staged procedures. E-vita Open NEO is the latest locally
available hybrid device for total aortic arch replacement and frozen
elephant trunk procedure. A 60-year-old woman with chronic type B aortic
dissection with ascending and arch aneurysm was successfully treated
with the E-vita Open Neo branched graft in the authors’ institution. The
introduction of the device was made possible with virtual proctoring
between Hong Kong and Germany. Within the video, the authors discuss the
design of E-vita Open NEO, indications of frozen elephant trunk,
perioperative care, and specific surgical techniques.
References
Leone A,
Beckmann E, Andreas M, Di Marco L, Pantaleo A, Reggiani LB, et al. Total
aortic arch replacement with frozen elephant trunk technique: Results
from two European institutes, J Thorac Cardiovasc Surg, 2020 Apr;159(4):1201-1211.
Berger
T, Weiss G, Voetsch A, Arnold Z, Kreibich M, Ryiski B, et al.
Multicentre experience with two frozen elephant trunk prostheses in the
treatment of acute aortic dissection, Eur J Cardiothorac Surg, 2019;56(3):572-578.
Harky
A, Fok M, Bashir M. Which is the optimal frozen elephant trunk? A
Systematic Review and meta-analysis of outcomes in 2161 Patients
undergoing thoracic aortic aneurysm surgery using E-vita OPEN PLUS
hybrid stent graft versus Thoraflex™ hybrid prosthesis, Braz J of Cardiovasc Surg, 2020;35(4): 427-436.
Tian
DH, Wan B, Di Eusanio M, Black D, Yan TD. A systematic review and
meta-analysis on the safety and efficacy of the frozen elephant trunk
technique in aortic arch surgery, Ann Cardiothorac Surg, 2013;2:581–591.