Frozen elephant trunk implantation in zone 0 using a left subclavian stented prosthesis

Management of the left subclavian artery can become a very challenging part of a frozen elephant trunk procedure. A new patient-individualized custom-made frozen elephant trunk hybrid prosthesis with a stented left subclavian artery branch is now commercially available, potentially decreasing surgical complexity. We present the implantation of this prosthesis in zone 0, with additional left internal mammary artery to left anterior descending bypass.