Intramural hematoma (IMH) is a well-recognized type of acute aortic syndrome with a significant rate of progression in more than 60% of cases (1,2). According to the most recent European guidelines, the treatment of a type A IMH follows the same recommendations as for type A aortic dissection (1,3). Therefore, in case of aortic arch involvement, a more radical treatment such as frozen elephant trunk (FET) should be considered. The rationale to use this kind of approach is to prepare for a second stage endovascular procedure, especially in case of distal downstream thoracoabdominal aorta involvement and in young patients. In this video, we illustrate the treatment of a type A IMH using the Vascutek Thoraflex hybrid prosthesis.
Di Marco L., Murana G., Leone A., Fiorentino M., Amodio C., Di Bartolomeo R., et al. (2019). Use of the frozen elephant trunk technique for type A intramural hematoma. ANNALS OF CARDIOTHORACIC SURGERY, 8(5), 574-576 [10.21037/acs.2019.08.04].
Use of the frozen elephant trunk technique for type A intramural hematoma
Murana G.;Fiorentino M.;Amodio C.;Di Bartolomeo R.;Pacini D.
2019
Abstract
Intramural hematoma (IMH) is a well-recognized type of acute aortic syndrome with a significant rate of progression in more than 60% of cases (1,2). According to the most recent European guidelines, the treatment of a type A IMH follows the same recommendations as for type A aortic dissection (1,3). Therefore, in case of aortic arch involvement, a more radical treatment such as frozen elephant trunk (FET) should be considered. The rationale to use this kind of approach is to prepare for a second stage endovascular procedure, especially in case of distal downstream thoracoabdominal aorta involvement and in young patients. In this video, we illustrate the treatment of a type A IMH using the Vascutek Thoraflex hybrid prosthesis.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
