ARTICLES ON AORTOPATHIES
Acute type A aortic dissection with cerebral malperfusion and coma: are these indicators of prohibitive surgical risk?
This retrospective analysis examined 378 patients with acute type A aortic dissection (ATAAD), comparing clinical outcomes in those with and without cerebral malperfusion (CM) following aortic repair performed without any early reperfusion procedures.
A novel surgical solution for an old problem: cerebral malperfusion in aortic dissection
Results from the multicenter, prospective North American PERSEVERE trial evaluating the AMDS® device in patients with cerebral malperfusion associated with type I aortic dissection.
American management of type B dissection
Review article published in the New England Journal of Medicine, summarizing current evidence, classification, and management recommendations for type B aortic dissection.
Sutureless aortic arch replacement: made in China
Experience and comparative evaluation against the conventional procedure of a disruptive sutureless anastomotic strategy, applied both proximally and distally, for total arch replacement in patients presenting with acute type A aortic dissection.
AMDS: simplifying the surgical management of complicated type a dissection
Early results of the PRESERVERE trial with the hybrid AMDS prosthesis to improve perfusion
The ruler or the scalpel: rethinking surgical indication in ascending aortic aneurysm dilation
A multicenter North American study assessed the utility of considering a threshold lower than 5.5 cm for surgical repair of ascending aortic aneurysms.
Hemofilter and acute kidney injury in type a dissection: better early than late
This study evaluated the role of initiating renal replacement therapy either early or at a later stage in patients who developed acute kidney injury after surgery for type A aortic dissection, focusing on mortality and postoperative complications.
Does a simple maneuver have major impact? posterior left pericardiotomy in aortic surgery
This observational study retrospectively examines the impact of posterior left pericardiotomy (PLP) on the incidence of cardiac tamponade and postoperative atrial fibrillation (AF) in the setting of aortic surgery.
Two-stage surgical approach for reentry into the mediastinum in aortic reoperations
Summary of clinical experience and detailed description of the preoperative planning protocol and surgical technique for reoperations via median sternotomy in patients with the ascending aorta in direct contact with the posterior sternal table.
TEVAR in complicated type B dissection: technical decisions that make the difference
This article summarizes the step-by-step TEVAR technique for complicated type B aortic dissection as described in the original study, and includes a final commentary where we integrate practical recommendations drawn from recent surgical articles, European guidelines, and the author’s own experience.