ARTICLES ON AORTOPATHIES
TEVAR beyond instructions for use: how far can we stretch the limits without paying the price?
A multicentre retrospective study analysing long-term outcomes after endovascular treatment of thoracic aortic aneurysms, comparing procedures performed within and outside device instructions for use, with particular focus on survival and the need for reintervention.
Type B aortic dissection in patients under 30 years: when inheritance dictates prognosis
Results from the largest published multicentre experience on the management and treatment strategies of type B aortic dissection in patients younger than 30 years
Three decades of anastomotic pseudoaneurysm repair: from open surgery to endovascular treatment, why not?
Thirty years of experience at a single center comparing open surgical repair and thoracic endovascular aortic repair (TEVAR) for anastomotic pseudoaneurysms following thoracic or thoracoabdominal aortic aneurysm surgery.
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.