Iatrogenic aortic dissection caused by incorrect frozen elephant trunk
deployment
Abstract
We reported a rare case of iatrogenic aortic dissection caused by
incorrect frozen elephant trunk (FET) deployment. A 53-year-old man
underwent total arch replacement with FET for aortic arch aneurysm and
concurrent PAU in the descending aorta. However, after FET deployment,
aortic dissection occurred. We analyzed that the tip of FET stent had
been inserted into the PAU and caused aortic dissection. We performed
some salvage procedures. However, the patient died on the 1st
postoperative day. Therefore, care should be taken to avoid incorrect
deployment of FET when there is a large tear or ulcer lesion in the
proximal descending aorta.