Role of the frozen elephant trunk procedure for chronic aortic dissection

Eric E. Roselli*, Faisal G. Bakaeen, Douglas R. Johnston, Edward G. Soltesz, Michael Z. Tong

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


OBJECTIVES: Considering the chronic and progressive nature of aortic dissection, operative planning must anticipate the need for later interventions. We have increasingly used a modified version of the frozen elephant trunk repair operation to treat these patients. We review the indications, considerations for planning, and important operative details for performing frozen elephant trunk repair for chronic aortic dissection. METHODS: Frozen elephant trunk repair is performed using selective antegrade brain perfusion, direct placement of commercially available stent grafts with suture fixation in the aortic arch, and proximal aortic replacement. Details are reviewed. RESULTS: We have published details related to the excellent results for the frozen elephant trunk procedure in patients with chronic dissection. CONCLUSIONS: The modified frozen elephant trunk repair is particularly well suited for patients with chronic aortic dissection who often require multiple operations to address their extensive disease.

Original languageEnglish (US)
Pages (from-to)i35-i39
JournalEuropean Journal of Cardio-thoracic Surgery
StatePublished - 2017


  • Aortic arch
  • Chronic dissection
  • Circulatory arrest
  • Frozen elephant trunk
  • Hybrid aortic repair

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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