Frozen elephant trunk for blunt aortic arch injury

Total arch replacement with the frozen elephant trunk technique is expanding its indications to treat a wide range of aortic arch and descending aortic conditions. Although blunt thoracic aortic injury commonly occurs at the aortic isthmus or descending thoracic aorta, we encountered a 36-year-old male patient with Grade III blunt aortic injury located in the mid-arch. An endovascular approach was not feasible and thus the patient underwent total arch replacement using the frozen elephant trunk technique.