The frozen elephant technique has simplified aortic arch surgery. As with thoracic endovascular aortic repair, frozen elephant technique reconstructions often require reintervention. Skilled endovascular management of frozen elephant technique complications is imperative as novel devices emerge. We describe 2 patients who required early intervention for severe foreshortening and incomplete expansion of the Thoraflex (Vascutek, Inchinnan, United Kingdom) stent graft.
