Biology

Thrombosis

Trunk

Medicine

Elephant trunks

Aortic dissection

Stent

Surgery

Prosthesis

Ecology

Aorta

Dissection (medical)

European Journal of Cardio-Thoracic Surgery

OBJECTIVES The aim of this study was to evaluate early- and mid-term outcome and aortic remodelling in patients undergoing implantation of 2 different frozen elephant trunk prostheses, either the Thoraflex™ hybrid (Vascutek, Inchinnan, UK) and the E-vita Open (Jotec Inc., Hechingen, Germany) for acute aortic dissection. METHODS All consecutive patients [n = 88; median age 59 (49–67) years; 69% male] undergoing surgery with a frozen elephant trunk prosthesis for acute aortic dissection from August 2005 until March 2018 were included in this study. The Thoraflex™ device was implanted in 55 patients and the E-vita Open graft in 33 patients. RESULTS Preoperative characteristics did not differ significantly between groups. There was also no statistically significant difference in postoperative outcome: in-hospital mortality (11% vs 12%; P &gt; 0.99), stroke (18% vs 6%; P = 0.12) and spinal cord injury (6% vs 6%; P &gt; 0.99). While there was no statistically significant difference in the occurrence of distal stent...

Multicentre experience with two frozen elephant trunk prostheses in the treatment of acute aortic dissection†