{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:35:33Z","timestamp":1753893333169,"version":"3.41.2"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The frozen elephant trunk technique is a surgical procedure developed for concomitant repair of downstream descending thoracic aorta as a first stage operation for arch resections. Proximalization of the sutured anastomosis reduces technical difficulty of total arch replacement. In this procedure, an anastomosis is performed more proximally using a stent graft. Connect the head and neck vessels are created using in-situ fenestration method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>This study presents the case of a 78-year-old woman with a large thoracic aortic arch aneurysm that was successfully treated with a modified frozen elephant trunk technique (open <jats:italic>in situ<\/jats:italic> fenestration). For this method, a hole was created in the neck branches (the left subclavian artery and left common carotid artery), and peripheral stent grafts were placed to simplify neck branch reconstruction. This minimized the risk of recurrent laryngeal nerve injury and bleeding and shortened the procedure time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The outcomes of this study showed a safe alternative total arch replacement procedure.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1224013","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T06:46:52Z","timestamp":1689749212000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case report: Total arch replacement with a frozen elephant trunk utilizing open hybrid in-situ fenestration technique for thoracic aortic arch aneurysm"],"prefix":"10.3389","volume":"10","author":[{"given":"Yusuke","family":"Takei","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I-Hui","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Yang","family":"Chan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nai-Hsin","family":"Chi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"II188","DOI":"10.1161\/01.CIR.94.6.1379","article-title":"New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft","volume":"94","author":"Kato","year":"1996","journal-title":"Circulation"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.1016\/j.jtcvs.2021.03.079","article-title":"Comparative study of Japanese frozen elephant trunk device for open aortic arch repairs","volume":"164","author":"Ogino","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1177\/15385744211002493","article-title":"Proximalization is advancement\u201d-zone 3 frozen elephant trunk vs zone 2 frozen elephant trunk: a literature review","volume":"55","author":"Choudhury","year":"2021","journal-title":"Vasc Endovascular Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1016\/j.athoracsur.2017.08.037","article-title":"Evolution of simplified frozen elephant trunk repair for acute DeBakey type I dissection: midterm outcomes","volume":"105","author":"Roselli","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1016\/j.jvs.2005.11.054","article-title":"Vocal cord paralysis after aortic arch surgery: predictors and clinical outcome","volume":"43","author":"Ohta","year":"2006","journal-title":"J Vasc Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1093\/ejcts\/ezaa411","article-title":"Clinical outcomes of a fenestrated frozen elephant trunk technique for acute type A aortic dissection","volume":"59","author":"Okamura","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1247","DOI":"10.1093\/ejcts\/ezaa486","article-title":"Taking the frozen elephant trunk technique to the next level by a stented side branch for a left subclavian artery connection: a feasibility study","volume":"59","author":"Grabenwoger","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.xjtc.2022.10.011","article-title":"Total arch replacement with extended branched stented anastomosis frozen elephant trunk repair for type A dissection improves operative outcome","volume":"17","author":"Hashizume","year":"2022","journal-title":"JTCVS Tech"},{"key":"B9","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1016\/j.jvs.2016.03.445","article-title":"Clinical outcomes and material properties of in situ fenestration of endovascular stent grafts","volume":"64","author":"Crawford","year":"2016","journal-title":"J Vasc Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.xjtc.2020.09.037","article-title":"The challenges of novel interventions in complex aortic disease","volume":"4","author":"Guo","year":"2020","journal-title":"JTCVS Tech"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1224013\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T06:46:56Z","timestamp":1689749216000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1224013\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":10,"alternative-id":["10.3389\/fsurg.2023.1224013"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2023.1224013","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2023,7,19]]},"article-number":"1224013"}}