AMDS: simplifying the surgical management of complicated type a dissection
Early results of the PRESERVERE trial with the hybrid AMDS prosthesis to improve perfusion
Aortopathies
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.
A Canadian in America: long-term outcomes of the Svensson modification of the David operation
Report on the very long-term outcomes (15 years) of a single-surgeon experience at the Cleveland Clinic with aortic root reimplantation surgery.
GERAADA score: confirmed clinical utility
A meta-analysis of 11 studies confirms the superiority of the GERAADA score over EuroSCORE II for predicting 30-day surgical risk in patients with acute aortic dissection.
When to operate in type A aortic dissection with malperfusion syndrome?
This article proposes an optimized management strategy for patients with type A aortic dissection complicated by malperfusion syndrome (MPS), structured around a 6-hour threshold from symptom onset.
Cognitive outcomes after brief hypothermic arrest: does shorter always mean safer?
This study evaluates cognitive performance before and after surgery involving cerebral hypothermia and unilateral antegrade cerebral perfusion as a neuroprotective strategy in patients undergoing hypothermic circulatory arrest (HCA) of 20 minutes or less, across different temperature ranges.