The Elephant Trunk Concept in Type A Aortic Dissection

  • Roberto Di BartolomeoEmail author
  • Paolo Berretta
  • Marco Di Eusanio


Despite improvements in diagnostic techniques and refinements in management strategies, type A aortic dissection (TAAD) continues to represent a great challenge for aortic surgeons. The optimal management of a dissected aortic arch is still an open question, and several issues remain under debate.

Different procedures involving surgical, endovascular, or hybrid techniques are currently available for patients with this condition, all associated with points of strength and weaknesses. In the past two decades, total arch replacement using classic or frozen elephant trunk techniques has gained attention in this setting.


Dissection Perfusion Elephant trunk Frozen elephant trunk Selective cerebral perfusion 


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Roberto Di Bartolomeo
    • 1
    Email author
  • Paolo Berretta
    • 1
  • Marco Di Eusanio
    • 1
  1. 1.Cardiac Surgery UnitOspedali Riuniti ‘Umberto I—GM Lancisi—G Salesi’, Polytechnic University of MarcheAnconaItaly

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