Frozen Elephant Trunk Technique for the Treatment of an Extensive Syphilitic Thoracic Aneurysm

Katsuaki Tsukioka1*, Tetsuya Kono2, Kohei Takahashi1 and Kenji Sano3

1Department of Cardiovascular Surgery, Iida Municipal Hospital, Iida, Japan 2Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano, Japan 3Department of Pathology, Iida Municipal Hospital, Iida, Japan

^*Correspondance to: Katsuaki Tsukioka 

 PDF  Full Text DOI: 10.25107/2474-1647.2804

Abstract

We present the successful application of the Frozen Elephant Trunk (FET) technique for repair of a syphilitic thoracic aortic aneurysm. A 66-year-old woman with untreated syphilis presented with double saccular aneurysms in the descending and dilated ascending aorta. Following total arch replacement using FET with distal landing at T8, postoperative shrinkage of the aneurysm occurred with no signs of paraparesis or endoleak. Adaptation of the distal landing of FET is essential to avoid spinal cord injury and pathological involvement of the ascending aorta should be considered during the management of extensive syphilitic thoracic aortic aneurysms. Long-term follow-up is crucial for the unresected part of the aneurysm.

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Cite the article

Tsukioka K, Kono T, Takahashi K, Sano K. Frozen Elephant Trunk Technique for the Treatment of an Extensive Syphilitic Thoracic Aneurysm. Clin Surg. 2020; 5: 2804.