Mini-access branch-first total arch replacement and frozen elephant trunk procedure

Adam Chakos, Tristan D. Yan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Minimally-invasive surgery presents its own unique set of challenges, especially when applied to treatment of aortic arch disease. The key components of mini-access aortic arch surgery include safe circulatory control, adequate organ protection, and meticulous surgical technique. This article describes how to perform branch-first total arch replacement with the frozen elephant trunk (FET) procedure for distal arch aneurysms. The strategy employed offers the advantages of mini-access surgery, as well as sound cerebral and systemic organ protection strategies.

Original languageEnglish
Pages (from-to)236-243
Number of pages8
JournalAnnals of Cardiothoracic Surgery
Issue number3
Publication statusPublished - May 2020

Bibliographical note

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  • Frozen elephant trunk (FET)
  • total arch replacement
  • minimally-invasive
  • mini-access
  • hemi-sternotomy

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