Stepwise external wrapping procedure for type A intramural hematoma

External wrapping of ascending aortic dissection with intramural hematoma

“…We read with interest the recent article by Suematsu and colleagues 1 that reported wrapping as a good alternative to graft replacement for type A aortic dissection with intramural hematoma in high-risk patients. We would like to congratulate the authors for their important study and emphasize that we share the same enthusiasm.…”

Reply: The concept of aortic wrapping—how did it all begin?

“…Reply to the Editor: The article by Suematsu and colleagues 1 presenting their version of stepwise aortic wrapping as a good alternative to aortic graft replacement in type A intramural hematoma stimulated a wide discussion, including Madjarov and colleagues, 2 about this alternative technique for high-risk patients. The dilemma is certainly the fact that experience is excellent in their center but randomized data or large compulsory registries to document long-term success are not available and will probably never be available in the future.…”

Proximal aortic arch re-dilatation after external aortic wrapping

“…The fact that this article was accepted for publicationthe second original research article during a short period of time regarding aortic wrapping-demonstrates the increased interest in ascending aortic wrapping. 1,2 We would like to add several discussion points.…”

“…The fact that this article was accepted for publication—the second original research article during a short period of time regarding aortic wrapping—demonstrates the increased interest in ascending aortic wrapping. 1 , 2 We would like to add several discussion points. As mentioned in our previous publication, Sanger Heart and Vascular Institute has a long-term experience with aortic wrapping.…”