Conclusion
E-vita open plus and successors alleviate frozen elephant trunk
operations rendering more stable results in promoting positive
remodelling of the distal aorta. In patients with aortic dissections the
remodelling of aorta favor a long term freedom from reintervention or
reoperation upto the segment of stent graft. [16] (Fig. 2). Livelong
surveillance is required to detect the development of downstream
pathologies due to persistent type III dissection with false lumen
growth either after acute or chronic dissection (Fig. 2). In case of
thoracoabdominal aneurysms, where a planned second stage intervention or
operation is warranted, endovascular treatment and even open surgery is
facilitated due to the midthoracic docking station within the distal
part of the E-vita stent grafts.