Florida Elephant Trunk Hybrid Aortic Repair (FETHAR): a novel frozen elephant trunk technique with complete debranching sparing endograft modification

Hybrid aortic repair entails a combination of open surgical and endovascular techniques. Existing techniques require modification of endografts to allow for complete arch debranching using a combination of open and endovascular techniques which may predispose the graft to failure or endoleak. We report on a novel method for hybrid aortic repair using a trifurcated graft, a collared Siena graft utilized in reversed fashion, a TEVAR stent graft, and a covered vascular graft. We demonstrate excellent seal without endoleak on the post-operative CT scan. Ultimately, this repair allows for complete arch debranching, an anastomosis in zone 2 of the aortic arch, and no endograft modification.