{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:09:45Z","timestamp":1783897785417,"version":"3.55.0"},"reference-count":18,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Aneurysms of the thoracic aorta involving the distal arch and the proximal descending aorta have traditionally been treated with two open procedures. During the first stage, the aortic arch pathology has been addressed through a median sternotomy. Several weeks or months later, a second stage followed and included completing the repair of the descending aorta through a lateral thoracotomy.<\/jats:p>\n                  <jats:p>We, herein, report a single stage repair of an aneurysm involving the distal aortic arch and the proximal descending aorta using the frozen elephant trunk operative technique. Vascular hybrid stent graft prosthesis, specifically designed for treatment of extensive aortic aneurysms, has been used to replace the arch component and exclude the descending aorta component of the aneurysm through a median sternotomy, using bilateral antegrade cerebral perfusion and mild systemic hypothermia for intraoperative organ protection.<\/jats:p>","DOI":"10.2478\/prilozi-2020-0047","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T07:28:25Z","timestamp":1608622105000},"page":"65-70","source":"Crossref","is-referenced-by-count":0,"title":["Single-Stage Treatment of Aneurysm of the Distal Aortic Arch and Proximal Descending Aorta Using the Frozen Elephant Trunk Procedure. Case Report"],"prefix":"10.2478","volume":"41","author":[{"given":"Sasko","family":"Jovev","sequence":"first","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasil","family":"Papestiev","sequence":"additional","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjan","family":"Shokarovski","sequence":"additional","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanija","family":"Hadzievska","sequence":"additional","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadica","family":"Mehmedovic","sequence":"additional","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola","family":"Lazovski","sequence":"additional","affiliation":[{"name":"University Clinic for Cardiac Surgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venko","family":"Filipce","sequence":"additional","affiliation":[{"name":"University Clinic for Neurosurgery , Skopje , N. Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petar","family":"Risteski","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery , University Hospital Frankfurt, Goethe University , Frankfurt , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2020,12,8]]},"reference":[{"key":"2026071215245437432_j_prilozi-2020-0047_ref_001_w2aab3b7c16b1b6b1ab1ab1Aa","doi-asserted-by":"crossref","unstructured":"1. Erbel R, Aboyans V, Boileau C, et al. 2014. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. European Heart Journal; 35: 2873\u20132926.10.1093\/eurheartj\/ehu281","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_002_w2aab3b7c16b1b6b1ab1ab2Aa","doi-asserted-by":"crossref","unstructured":"2. Luehr M, Peterss S, Zierer A, Pacini D, et al. 2018. Aortic events and reoperations after elective aortic arch surgery: incidence, surgical strategies and outcomes. Eur j Cardiothorac Surg 1; 53(3): 519\u2013524.10.1093\/ejcts\/ezx378","DOI":"10.1093\/ejcts\/ezx378"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_003_w2aab3b7c16b1b6b1ab1ab3Aa","doi-asserted-by":"crossref","unstructured":"3. Estrera AL, Sandhu HK, Miller CC, et al. 2014. Repair of extensive aortic aneurysms :a single center experience using elephant trunk technique over 20 years. An Surg; 260(3): 510\u20136.10.1097\/SLA.0000000000000892","DOI":"10.1097\/SLA.0000000000000892"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_004_w2aab3b7c16b1b6b1ab1ab4Aa","doi-asserted-by":"crossref","unstructured":"4. Risteski P, El-Sayed Ahmad A, Monsefi N, et al. 2017. Minimally invasive aortic arch surgery:Early and late outcomes Int J Surg; 45; 113\u2013117.10.1016\/j.ijsu.2017.07.105","DOI":"10.1016\/j.ijsu.2017.07.105"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_005_w2aab3b7c16b1b6b1ab1ab5Aa","doi-asserted-by":"crossref","unstructured":"5. Grabenwoger M, Alfonso F, Bachet J, et al. 2012. Thoracic Endovascular Aortic Repair TEVAR for treatment of aortic diseases: a position statement from European Association for Cardio-Thoracic Surgery EACTS and the European Society of Cardiology ESC, in collaboration with Europian Association of Percutaneus Cardiovascular Interventions EAPCI, European Heart Journal Advance Access.10.1093\/eurheartj\/ehs074","DOI":"10.1093\/eurheartj\/ehs074"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_006_w2aab3b7c16b1b6b1ab1ab6Aa","doi-asserted-by":"crossref","unstructured":"6. Zierer A, El Sayed Ahmad A, Papadopoulos N, et al. 2017. Fifteen years of surgery for acute type A dissection in moderate to mild systemic hypothermia Eur J Cardiothorac Surg; 51 (1): 97\u2013103.10.1093\/ejcts\/ezw289","DOI":"10.1093\/ejcts\/ezw289"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_007_w2aab3b7c16b1b6b1ab1ab7Aa","doi-asserted-by":"crossref","unstructured":"7. Borst HG, Walterbusch G, Shaps D, et al. 1983. Extensive aortic replacement using \u201eelephant trunk\u201c prosthesis. Thorac Cardiovasc Surg; 31: 37\u201340.10.1055\/s-2007-1020290","DOI":"10.1055\/s-2007-1020290"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_008_w2aab3b7c16b1b6b1ab1ab8Aa","doi-asserted-by":"crossref","unstructured":"8. Etz CD, Plestis KA, Kari FA, et al. 2008 Staged repair of thoracic and thoracoabdominal aortic aneurysms using the elephant trunk technique: a consecutive series of 215 first stage and 120 complete repairs. Eur J Cardiothorac Surg; 34: 605\u2013615.10.1016\/j.ejcts.2008.04.045","DOI":"10.1016\/j.ejcts.2008.04.045"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_009_w2aab3b7c16b1b6b1ab1ab9Aa","doi-asserted-by":"crossref","unstructured":"9. Doss M, Woehleke T, Wood JP, Martens S, Greinecker GW, Moritz A. 2003.The clamshell approach for the treatment of extensive thoracic aortic disease. J Thorac Cardiovasc Surg; 126(3): 814\u20137.10.1016\/S0022-5223(03)00215-0","DOI":"10.1016\/S0022-5223(03)00215-0"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_010_w2aab3b7c16b1b6b1ab1ac10Aa","doi-asserted-by":"crossref","unstructured":"10. Castrovinci S, Murana G, de Maat GE,et al. 2015. The classic elephant trunk technique for staged thoracic and thoracoabdominal aortic repair: long-term results. Thorac Cardiovasc Surg; 149(2): 416\u201322.10.1016\/j.jtcvs.2014.09.078","DOI":"10.1016\/j.jtcvs.2014.09.078"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_011_w2aab3b7c16b1b6b1ab1ac11Aa","doi-asserted-by":"crossref","unstructured":"11. De Rango P, Cao P, Ferrer C, et al. 2014. Aortic arch debranching and thoracic endovascular repair. J Vasc Surg; 59(1): 107\u201314.10.1016\/j.jvs.2013.07.010","DOI":"10.1016\/j.jvs.2013.07.010"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_012_w2aab3b7c16b1b6b1ab1ac12Aa","doi-asserted-by":"crossref","unstructured":"12. Preventza O, Price MD, Simpson KH, et al. 2015. Hemiarch and total arch surgery in patients with previous repair of acute type I aortic dissection. Ann Thorac Surg; 100: 833\u20139.10.1016\/j.athoracsur.2015.03.095","DOI":"10.1016\/j.athoracsur.2015.03.095"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_013_w2aab3b7c16b1b6b1ab1ac13Aa","doi-asserted-by":"crossref","unstructured":"13. Di Bartolomeo R, Murana G, Di Marco L, Pantaleo A, Alfonsi J, Leone A et al. Frozen versus conventional elephant trunk technique: application in clinical practice. Eur J Cardiothorac Surg 2017; 51: i25\u2013i33.10.1093\/ejcts\/ezw335","DOI":"10.1093\/ejcts\/ezw335"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_014_w2aab3b7c16b1b6b1ab1ac14Aa","doi-asserted-by":"crossref","unstructured":"14. Shrestha M, Beckmann E, Krueger H, et al. 2015. The elephant trunk is freezing: The Hannover experience. J Thorac Cardiovasc Surg; 149(5): 1286\u201393.10.1016\/j.jtcvs.2015.01.044","DOI":"10.1016\/j.jtcvs.2015.01.044"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_015_w2aab3b7c16b1b6b1ab1ac15Aa","doi-asserted-by":"crossref","unstructured":"15. Shrestha M, Bachet J, Bavaria J, et al. 2015. Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS. Eur J Cardiothorac Surg; 47(5): 759\u201369.10.1093\/ejcts\/ezv085","DOI":"10.1093\/ejcts\/ezv085"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_016_w2aab3b7c16b1b6b1ab1ac16Aa","doi-asserted-by":"crossref","unstructured":"16. El-Sayed Ahmad A, Risteski P, Ay M, Papadopoulos N, Moritz A, Zierer A. 2018. Moderate hypothermic circulatory arrest (\u2265 28\u00b0C) with selective antegrade cerebral perfusion for total arch replacement with frozen elephant trunk technique. Thorac Cardiovasc Surg. [Epub ahead of print]10.1055\/s-0038-1639478","DOI":"10.1055\/s-0038-1639478"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_017_w2aab3b7c16b1b6b1ab1ac17Aa","doi-asserted-by":"crossref","unstructured":"17. Ius F, Fleissner F, Pichlmaier M, Karck M, Martens A, Haverich A, et al. Total aortic arch replacement with the frozen elephant trunk technique: 10-year follow-up single-centre experience. Eur J Cardiothorac Surg. 2013; 44: 949\u2013957. DOI: 10.1093\/ejcts\/ezt22910.1093\/ejcts\/ezt229","DOI":"10.1093\/ejcts\/ezt229"},{"key":"2026071215245437432_j_prilozi-2020-0047_ref_018_w2aab3b7c16b1b6b1ab1ac18Aa","doi-asserted-by":"crossref","unstructured":"18. Wei-Guo Ma, MD1,2, Jun Zheng, MD1, Li-Zhong Sun, MD1*, John A. Elefteriades, Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes. AORTA, August 2015, Volume 3, Issue 4: 122\u201313510.12945\/j.aorta.2015.14-062","DOI":"10.12945\/j.aorta.2015.14-062"}],"container-title":["PRILOZI"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/content.sciendo.com\/view\/journals\/prilozi\/41\/3\/article-p65.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/reference-global.com\/pdf\/10.2478\/prilozi-2020-0047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:02:34Z","timestamp":1783897354000},"score":1,"resource":{"primary":{"URL":"https:\/\/reference-global.com\/article\/10.2478\/prilozi-2020-0047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,1]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,12,8]]},"published-print":{"date-parts":[[2020,11,1]]}},"alternative-id":["10.2478\/prilozi-2020-0047"],"URL":"https:\/\/doi.org\/10.2478\/prilozi-2020-0047","relation":{},"ISSN":["1857-8985","1857-9345"],"issn-type":[{"value":"1857-8985","type":"electronic"},{"value":"1857-9345","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11,1]]}}}