Emergency open surgery for type A acute aortic dissection in elderly patients resulted in a low mortality but high incidences of stroke and prolonged hospital stay. Preoperative cardiopulmonary resuscitation and previous cardiac surgery were significant predictors of stroke. Emergency surgery is still the primary option for most elderly patients with acute aortic dissection.

Total arch replacement with our modified perfusion strategy has demonstrated low operative mortality and morbidity.

No abstract

Our strategy to modify the proximal anastomosis procedure resulted in a low stroke rate. Aortic clamping could be performed safely in patients with normal or mild atherosclerotic aorta. In patients with moderate atherosclerosis, the result of an anastomotic device may need a further investigation.

No abstract