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Commentary: Technology and Technique

  • Dawn S. Hui
    Correspondence
    Addresss reprint requests to Dawn S. Hui, MD. Department of Cardiothoracic Surgery, University of Texas Health San Antonio, 7703 Floyd Curl Drive, Suite 211L, San Antonio, TX 78229.
    Affiliations
    Department of Cardiothoracic Surgery, Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX.
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      Improvements in extended arch repair for acute type A aortic dissection come from incremental changes in technique as well as technological advancements.
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      References

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      Linked Article

      • Total Aortic Arch Replacements With a 4 Branched Frozen Elephant Trunk (FET) Graft in Acute Aortic Dissection (DeBakey type I)
        Operative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 3
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          The “frozen elephant trunk” (FET) technique was developed by Karck et al., who modified Borst's ET technique by using a stent graft to secure the distal ET section. Working in collaboration with Vascutek Terumo, we in Hannover Medical School introduced the 4-branched hybrid FET graft In 2012 (Thoraflex Hybrid). However, the results after open aortic arch repair mainly depend on perioperative management and patient factors. Over the years, peri-operative management and operative techniques have evolved greatly contributing to better results.
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