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

    5 Citations (Scopus)
    13 Downloads (Pure)


    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

    Copyright the Publisher. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


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


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