The impact of kinking of the nonstented part of a frozen elephant trunk on the development of adverse effects is unclear. We report a case of an infected thrombus within the kinked nonstented portion of the frozen elephant trunk that resulted in multiorgan embolization. A 45-year-old man presented with a 1-month history of high-grade fever and fatigue. He had undergone emergent total arch replacement and frozen elephant trunk implantation for type A acute aortic dissection 7 years previously. Computed tomography showed an intraluminal thrombus within the kinked nonstented portion of the frozen elephant trunk. An autopsy also showed an intraluminal thrombus within the graft and diffuse microembolization in the abdominal organs. Therefore, in this case, kinking of the nonstented part of the frozen elephant trunk had resulted in an infected intraluminal thrombus, which subsequently caused multiorgan embolization.

冷冻象鼻非支架部分的扭结对不良反应发展的影响尚不清楚。我们报告了一例冷冻象鼻的扭结非支架部分内感染血栓导致多器官栓塞的病例。一名 45 岁男性因高热和疲劳病史 1 个月就诊。7 年前，他因 A 型急性主动脉夹层接受了急诊全弓置换术和冷冻象鼻植入术。计算机断层扫描显示冷冻象鼻的扭结非支架部分内有一个腔内血栓。尸检还显示移植物中的腔内血栓和腹部器官中的弥漫性微栓塞。因此，在这种情况下，