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Covering Anastomosis to Frozen Elephant Trunk in Secondary Downstream Aorta Replacement
Fumiya Chubachi1, Akihiro Yoshitake1
1Department of Cardiovascular Surgery, Saitama Medical University International Medical Center, Hidaka, Saitama, Japan.
Abstract:
There has been an increasing number of secondary downstream aorta replacements following aortic arch repair using a frozen elephant trunk (FET). We present an anastomosis technique to join a frozen elephant graft to a downstream prosthetic graft. The FET is inserted into the downstream graft with continuous sutures, with a two-bite Dacron graft added to the frozen elephant side. This technique may prevent anastomotic leakage between two grafts.

