ARTICLES ON AORTOPATHIES
Prótesis AMDS in type A dissection with malperfusion: extending treatment to the arch without replacing it
This study evaluates the AMDS Hybrid Prosthesis as an adjunct to conventional open repair in acute DeBakey type I aortic dissection with malperfusion, aiming to stabilize the aortic arch, expand the true lumen, and reduce dynamic malperfusion without routine total arch replacement.
Lessons learned from iatrogenic aortic dissection
This article provides an overview of iatrogenic aortic dissection based on an international registry, addressing its clinical features, diagnostic challenges, and different management strategies compared with spontaneous aortic dissection.
Impact of the elephant trunk on distal aortic remodelling after surgery for type I aortic dissection. When decisions shape mid- and long-term outcomes
Retrospective study from a referral centre in Korea comparing distal aortic remodelling after surgery for type I aortic dissection.
When carotid-subclavian bypass remains an indispensable tool in the era of complex endografts
Observational single-centre study evaluating mid- and long-term outcomes of left carotid-subclavian bypass associated with TEVAR, with particular focus on graft patency, bypass-related complications, survival, and need for reintervention during follow-up.
Impact of concomitant coronary revascularization in patients undergoing surgery for type A aortic dissection
Short- and long-term impact of the need for coronary revascularization in patients undergoing surgery for acute type A aortic dissection, based on data from the European Registry of Type A Aortic Dissection (ERTAAD).
Exercise in bicuspid aortic valve with dilation: have we been too restrictive?
Prospective observational study analyzing the relationship between exercise intensity and duration and the progression of aortic dilation in patients with bicuspid aortic valve.
Can a stapler change aortic surgery?
Analysis of the experience in human cadaver models with a prototype automatic suturing system for the anastomosis of a Dacron graft to the ascending aorta in both aneurysmal and dissecting pathology.
Repair more to live better: long-term outcomes after total arch replacement for acute type A aortic dissection
This single-center retrospective study including more than 1600 patients evaluates long-term outcomes after total arch replacement combined with frozen elephant trunk implantation in the setting of acute type A aortic dissection.
Go with the flow: initial reperfusion strategy in acute type A aortic dissection with mesenteric malperfusion
Mesenteric malperfusion in the setting of acute type A aortic dissection remains one of the most formidable challenges in urgent and emergent aortic surgery. This article reviews an initial reperfusion strategy supported by recent clinical and radiological evidence, with direct implications for surgical decision-making.
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.
