Technical aspects of using the 'Thoraflex^TM Hybrid' prosthesis in acute type A aortic dissection

The most tried out, 'classical' technique of the operation in acute type A aortic dissection is supracoronary prosthetic repair of the ascending aorta and proximal portion of the aortic arch, as the simplest and fastest intervention. However, this technique is associated with late complications related primarily to formation of a persistent false lumen leading to formation of an aneurysm of the descending aorta. Total prosthetic repair of the aortic arch, including the 'frozen elephant trunk' technique, contributes to thrombosis of the false lumen and remodelling of the thoracic aorta. The article describes peculiarities of this technique illustrated by an example of implanting the 'Thoraflex^TM Hybrid' prosthesis.