ARTICLES ON AORTOPATHIES
Specialized on-call coverage for acute type A aortic dissection: when organization saves lives
This retrospective observational study examines how the implementation of a dedicated on-call specialist aortic surgery rota reduces in-hospital mortality and enables more complex repairs in patients with acute type A aortic dissection.
Bentall “mattress-type”: when a good technique can still be improved
A new CTSNet video presents a simple yet highly effective variant of the Bentall–de Bono operation: a double proximal mattress-type suture that enhances sealing and security at the aortoventricular junction without altering the remainder of the procedure.
When spinal cord protection becomes a threat: dismantling the dogma of cerebrospinal fluid drainage in open aortic surgery
This retrospective multicenter observational study—the largest conducted to date—challenges the long-standing assumption that cerebrospinal fluid (CSF) drainage is inherently protective against spinal cord injury during open repair of descending thoracic aortic aneurysms (DTAA) and thoracoabdominal aortic aneurysms (TAAA). The investigation focuses on the incidence of paraplegia or paresis persisting beyond 24 hours as the primary clinical outcomes.
Protective bypass in acute type A dissection with coronary ostial involvement
A review addressing current strategies for managing coronary ostial involvement in acute type A aortic dissection (ATAAD), exploring whether supplementing conventional ostial repair with a protective coronary bypass could enhance myocardial perfusion during the early postoperative phase and potentially reduce severe adverse events.
Unplanned coronary bypass in aortic root surgery: a complication with meaningful consequences?
A detailed examination of the clinical impact of coronary button–related complications during aortic root surgery, based on data from two high-volume US cohorts.
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