Persistent Endofilling of Frozen Elephant Trunk

Persistent Endofilling of Frozen Elephant Trunk

Description

A 67-year-old male presented in 2021 with an acute type A aortic dissection. He underwent ascending aorta and hemiarch replacement with a frozen elephant trunk and stent placement into the left subclavian artery. On follow up imaging he was found to have an increase in his maximal aortic diameter with persistent filling of the false lumen from a fenestration between the innominate and left carotid artery on interval diagnostic aortogram (see image 1). The patient elected not to undergo redo arch replacement given the risks associated and instead opted for great vessel debranching followed by zone 0 thoracic branch stent graft.

Publication Date

5-9-2025

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1680

Persistent Endofilling of Frozen Elephant Trunk

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