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Related Experiment Video

Updated: May 4, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Frozen elephant trunk technique for acute type A aortic dissection.

Gabriel Weiss1, Michael Gorlitzer, Sandra Folkmann

  • 1Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary

A 59-year-old male with extensive aortic dissection underwent a successful hybrid repair. This combined surgical and endovascular approach treated the ascending aorta, aortic arch, and descending aorta simultaneously.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Medical Device Technology

Background:

  • Stanford type A aortic dissection (DeBakey type I) presents a significant surgical challenge due to its extensive nature.
  • Dissections extending from the sinotubular junction to the abdominal aorta require complex, often multi-stage, treatment strategies.

Purpose of the Study:

  • To present a case report detailing the successful management of a complex aortic dissection.
  • To highlight the efficacy of a combined surgical and endovascular approach using a hybrid prosthesis for extensive aortic dissections.

Main Methods:

  • A 59-year-old male patient with Stanford type A aortic dissection (DeBakey type I) was treated.
  • The procedure involved a hybrid repair utilizing the frozen elephant trunk technique.
Keywords:
Endovascular aortic repairFrozen elephant trunk techniqueType A aortic dissection

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  • A specially designed hybrid prosthesis (E-vita open, Jotec GmbH) was employed for simultaneous repair.

    • Main Results:

    • The hybrid procedure successfully treated the ascending aorta, aortic arch, and descending aorta in a single stage.
    • The patient's complex dissection was managed effectively through this combined approach.

    Conclusions:

    • Onstage hybrid procedures offer a viable solution for extensive aortic dissections involving multiple aortic segments.
    • The use of specialized hybrid prostheses facilitates simultaneous repair, potentially improving outcomes for complex aortic pathologies.