title: Reverse frozen elephant trunk procedure for rescue of a thoracic stent-graft in the false lumen.
abstract: Thoracic endovascular aortic repair (TEVAR) is now a common treatment for patients with descending aortic disease, including aortic dissection. As the indications for TEVAR have expanded, so has the complexity of complications. Retrograde aortic dissection may occur in 1% to 2% of patients after TEVAR. We present a patient who initially underwent TEVAR for a degenerative aneurysm followed by a proximal stent-graft extension for retrograde dissection that failed because of malposition within the false lumen. We performed a hybrid reverse frozen elephant trunk (RFET) operation as a salvage procedure for these complications.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Monica A
authors.initials: MA
authors.lastname: Isabella
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: roselle@ccf.org.
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017130:Angioplasty / Q000009:adverse effects* / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D016879:Salvage Therapy / Q000379:methods; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods