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Ius, F., Fleissner, F., Pichlmaier, M., Karck, M., Martens, A., Haverich, A., et al. (2013) Total Aortic Arch Replacement with the Frozen Elephant Trunk Technique: 10-Year Follow-Up Single-Centre Experience. European Journal of Cardio-Thoracic Surgery, 44, 949-957.
https://doi.org/10.1093/ejcts/ezt229

has been cited by the following article:

• TITLE: Combined FET and TEVAR via the Ascending Aorta for Complex Aortic Arch Aneurysms

  AUTHORS: Kenji Sakai, Yushi Okumura, Tetsuya Yoshida

  KEYWORDS: Frozen Elephant Trunk, TEVAR, Aortic Arch Aneurysm, Hybrid Aortic Repair, Antegrade Access

  JOURNAL NAME: World Journal of Cardiovascular Surgery, Vol.15 No.7, July 18, 2025

  ABSTRACT: The Frozen Elephant Trunk (FET) technique using the FROZENIX® J-graft simplifies total arch replacement but poses challenges in patients with anatomically complex aortas. We report two cases of simultaneous ascending and aortic arch replacement using FROZENIX and thoracic endovascular aortic repair (TEVAR) via the ascending aorta in such anatomically challenging cases. Case 1: A 78-year-old man with a prior Y-graft replacement and TEVAR for abdominal aortic aneurysm presented with a tortuous descending aorta, which made device advancement difficult. He underwent successful total arch replacement using FROZENIX combined with TEVAR via the ascending aorta. Case 2: A 77-year-old man with chronic renal failure and a large aortic arch aneurysm underwent the same combined procedure with favorable results. Both patients recovered without neurological or renal complications and were discharged in stable condition. Simultaneous FET and TEVAR via the ascending aorta may offer a viable single-stage alternative for high-risk or anatomically complex cases.