ARTICLES ON AORTOPATHIES
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.
The limitations of an unidimensional assessment of aortic aneurysms
Substudy of the prospective, multicenter, randomized TITAN:SvS trial evaluating candidates for ascending aortic surgery using alternative metrics beyond aortic diameter.
Acute type A intramural hematoma: is it truly less deadly
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.
Game of grafts: is winter coming for conventional aortic arch surgery?
This study evaluates the feasibility and early outcomes of total endovascular aortic arch repair in patients deemed unfit for open surgery.
The debate continues in the postoperative period of type A aortic dissection: glucocorticoids, yes or no?
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.
Aortic Root Remodeling: Is It Worth It?
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.