The Frozen Elephant Trunk Technique for Treatment of Thoracic Aortic Aneurysms Hassina Baraki, MD, Christian Hagl, MD, PhD, Narwid Khaladj, MD, Klaus.

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The Frozen Elephant Trunk Technique for Treatment of Thoracic Aortic Aneurysms Hassina Baraki, MD, Christian Hagl, MD, PhD, Narwid Khaladj, MD, Klaus Kallenbach, MD, PhD, Jürgen Weidemann, MD, Axel Haverich, MD, Matthias Karck, MD The Annals of Thoracic Surgery Volume 83, Issue 2, Pages S819-S823 (February 2007) DOI: 10.1016/j.athoracsur.2006.10.083 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The hybrid prosthesis (Chavan-Haverich endograft, Curative GmbH, Dresden, Germany) made of a woven vascular prosthesis with stainless stents affixed to the inner aspects at the distal end. The proximal end consists of a Dacron sleeve (DuPont, Wilmington, DE) ready for conventional surgical handling. (L = length.) The Annals of Thoracic Surgery 2007 83, S819-S823DOI: (10.1016/j.athoracsur.2006.10.083) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Actuarial survival in months after implantation of hybrid prosthesis. Numbers in parenthesis show the patients remaining at risk at each relevant time point. The Annals of Thoracic Surgery 2007 83, S819-S823DOI: (10.1016/j.athoracsur.2006.10.083) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The maximal diameter of the descending thoracic aorta at the level of the tracheal bifurcation before (clear bars) and after (striped bars) the implantation of the hybrid prosthesis. (AADA = acute aortic dissection type A; CADA = chronic aortic dissection type A; CADB = chronic aortic dissection type B.) The Annals of Thoracic Surgery 2007 83, S819-S823DOI: (10.1016/j.athoracsur.2006.10.083) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Contrast computed tomography reformation of a patient with aortic aneurysm after implantation of a hybrid prosthesis 26 months postoperatively. Perigraft space around the stented segment of the hybrid prosthesis is completely thrombosed. The Annals of Thoracic Surgery 2007 83, S819-S823DOI: (10.1016/j.athoracsur.2006.10.083) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions