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Heart, Lung and Circulation
How-To-Do-It| Volume 27, ISSUE 6, P767-770, June 2018

Aortic Cannulation in DeBakey Type I Aortic Dissection Facilitates Subsequent Deployment of a Frozen Elephant Trunk

Published:September 15, 2017DOI:https://doi.org/10.1016/j.hlc.2017.08.015
      Arterial cannulation in acute DeBakey type I dissection can be difficult. Moreover, the residual dissected aorta is susceptible to further adverse events in the future. Implanting a stent-graft into the descending aorta during the initial dissection repair (‘frozen elephant trunk’) has been demonstrated to promote favourable aortic remodelling, mitigating some of these longer-term complications. We describe a technique for cannulation of the ascending aorta in acute dissection that facilitates expeditious antegrade deployment of a frozen elephant trunk.

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