Replacement of the transverse aortic arch during emergency operations for type A acute aortic dissection

Risk Factors for Descending Aortic Aneurysm Formation in Medium-Term Follow-up of Patients With Type A Aortic Dissection

“…Aortic arch replacement to treat an arch tear in a type A aortic dissection is controversial. 17,19,22,23 Some authors believe that a postoperatively persistent patent false lumen is an inevitable result of the pathology. However, others have indicated that resection of the primary tear on the aortic arch could reduce the patency rate.…”

Influence of operative strategy for the aortic arch in DeBakey type I aortic dissection: Analysis of the German Registry for Acute Aortic Dissection Type A

“…[2][3][4][5][6] Because the residual dissection of the descending aorta carries the risk of progressive aneurysmal dilation, 7 subsequent aortic reintervention of the descending aorta may be necessary, influencing the long-term benefits of the initial surgery. [8][9][10] A more aggressive initial treatment with total arch repair, possibly with adjunct therapy of the descending aorta obliterating the false lumen, is propagated by several groups to decrease the incidence of late aortic complications. [11][12][13] However, other groups have demonstrated an increased risk of morbidity and mortality with extensive surgery of the downstream aorta, thus recommending a more conservative strategy limited to the ascending aorta and proximal arch.…”

Covered stent graft for distal stent graft-induced new entry after frozen elephant trunk operation for aortic dissection

“…Ascending aorta replacement or hemi-arch replacement is the traditional surgical method to treat Stanford type A aortic dissection [1][2][3][4] For 50%-70% of patients suffering from type A aortic dissection, blood flow is still present in the false lumen of the descending aorta, which may cause dilation of the aorta, and about 13%-15% of such patients will need a second surgery within five years [12][13][14][15][16]. To improve the therapeutic effect and reduce the reoperation rate, entire arch replacement combined with FET has been increasingly used for type A aortic dissection [1][2][3][4][5][6][7].…”