Possibilities of "E-vita open plus" hybrid stent graft in surgery of thoracic aorta

Kozlov B.N., Panfilov D.S., Saushkin V.V., Zavadovsky K.V., Kuznetsov M.S., Nasrashvili G.G., Shipulin V.M.

Scientific Research Institute of Cardiology, Tomsk, Russia

Background. The variety of pathology of the thoracic aorta supposes different approaches of surgical management, including the use of hybrid technologies.

Objective. To broaden a possible spectrum of indications for implantation of the "E-vita open plus" hybrid stent graft.

Results. Surgical treatment of thoracic aorta with the help of the "E-vita open plus" hybrid stent graft according to the "frozen elephant trunk" technique demonstrated satisfactory results in patients with various pathology: type A and B acute and chronic dissection according to the Stanford classification, as well as rare diseases (post-traumatic false aneurysm, complicated atherosclerosis of the thoracic aorta).

Conclusions. The technology of "frosted elephant trunk" with implantation of the "E-vita open plus" hybrid stent graft in not limited by cases of acute aortic dissection, aortic aneurysmatic transformation and has wider indications for application. The use of this technology in cases of rare pathology of the thoracic aorta ("shaggy aorta" syndrome, posttraumatic false aneurysm) makes it possible to obtain satisfactory clinical results.

KEY WORDS: frozen elephant trunk, thoracic aorta, aortic aneurysm, aortic dissection, shaggy aorta, posttraumatic aortic pseudoaneurysm.

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