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.

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.

Substudy of the prospective, multicenter, randomized TITAN:SvS trial evaluating candidates for ascending aortic surgery using alternative metrics beyond aortic diameter.

This is a retrospective observational study from a high-volume center addressing aortic intramural hematoma (IMH) as a distinct clinical entity within the acute aortic syndrome (AAS) spectrum. The authors outline their therapeutic approach, with particular emphasis on surgical strategy and patient selection based on the hematoma’s location and radiological progression.

This study evaluates the feasibility and early outcomes of total endovascular aortic arch repair in patients deemed unfit for open surgery.

A single-center, open-label, randomized clinical trial evaluating the efficacy of glucocorticoids in preventing or improving organ failure in the postoperative period of type A aortic dissection.

Meta-analysis of publications on aortic root surgery preserving the tricuspid aortic valve aimed at identifying factors associated with residual aortic regurgitation and those linked to favorable valve competence outcomes.

A multicenter retrospective study including 1052 patients treated across six Japanese centers. This study aimed to evaluate which of the two techniques—conventional surgery or endovascular repair—delivers better outcomes based on patient profiles and anatomical characteristics.

A study published by an Austrian group presents the surgical outcomes following the hybrid implantation of a custom-made aortic prosthesis for the treatment of aortic arch pathology during their initial experience at their center.

A retrospective bicentric study using propensity score matching on over 1000 Japanese patients, analyzing the impact of primary entry tears in the descending thoracic aorta following urgent surgery for type A aortic dissection.