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. 2021 May 20:38:279-288.
doi: 10.52198/21.STI.38.CV1413.

State of the Art Review: Surgical Treatment of Acute Type A Aortic Dissection

Leonard Pitts  1 , Matteo Montagner  1 , Markus Kofler  1 , Karel M Van Praet  1   2 , Roland Heck  1 , Semih Buz  1   2 , Stephan D Kurz  1   3 , Simon Sündermann  1   2   3 , Matthias Hommel  4 , Volkmar Falk  1   2   3   5 , Jörg Kempfert  1   2
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State of the Art Review: Surgical Treatment of Acute Type A Aortic Dissection

Leonard Pitts et al. Surg Technol Int. .

Abstract

Acute type A aortic dissection (ATAAD) is a life-threatening event that requires immediate surgical treatment. Improvements in surgical treatment, graft technology, organ protection and imaging techniques have led to improved clinical outcomes. Individualized treatment concepts have emerged based on more advanced planning tools that allow for a tailored approach even in complex situations such as multi-level malperfusion. This review provides an overview of the current surgical treatment of ATAAD, focusing on new disease classifications, preoperative computed tomography angiography (CTA) assessment, new prosthesis and stent technologies, and organ-protection strategies.

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