VD11 FROZEN ELEPHANT TRUNK BY USING E-VITA PROSTHESES AND BENTALL PROCEDURE IN A GIANT DESCENDING THORACIC AORTA ANEURYSM

Abstract

We present the case of a 54-year-old male patient with a 12 cm post-decoarctation aneurysm of the descending thoracic aorta with bicuspid aortic valve stenosis and ventricular septal defect. Right femoral artery and bicaval cannulation were used for Cardiopulmonary bypass. Antegrade cerebral perfusion with moderate hypotermia (25°C) was achieved with the innominate and left carotid artery cannulation. The aortic arch replacement was performed by using Frozen Elephant Trunk technique with a 40 mm E-Vita Open Plus prosthesis and a separated Plexus 4-branches prosthesis. The reimplantation of the left subclavian artery was performed by a 9 mm Gore hybrid vascular graft. A St.Jude 23 mm mechanical valve conduit was used for the Bentall procedure. The ventricular septal defect was closed with direct suture. Cardiopulmonary bypass, aortic cross-clamp and cerebral perfusion times were 258,186 and 109 minutes, respectively. Post-operative course was uneventful and CT scan showed the good result of the procedure.