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SCTS 2025 | Acute Aortic Dissection
In March 2025, the Society for Cardiothoracic Surgery in Great Britain and Ireland held its annual meeting, bringing together professionals in the field of cardiothoracic surgery to discuss the latest advancements in technologies and techniques. Watch for more SCTS 2025 videos in the coming weeks.
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented various management strategies for a 55-year-old male with a Debakey type 1 aortic dissection and discussed their respective techniques.
Dr. Eshan Senanayake, a consultant cardiac surgeon at Queen Elizabeth Hospital, advocated for the hemiarch replacement technique as the optimal management strategy. He explored the advantages of this approach, the fundamental principles of aortic dissection surgery, and identified the ideal candidates for the hemiarch procedure.
Dr. Amit Modi, a consultant cardiac surgery at the University Hospital Southampton NHS Foundation Trust, presented the frozen elephant trunk (FET) technique, arguing it provides significant benefits for this patient. He discussed how FET improves true lumen flow, facilitates total arch replacement with partial arch resection, and addresses the issue of distal anastomotic new entry (DANE).
Dr. Ravi De Silva, the lead for aortic surgery at Royal Papworth Hospital, emphasized the importance of replacing the ascending aorta while utilizing the AMDS. He highlighted key features of this case, the structure and function of AMDS, and its intended benefits, including resolving malperfusion and preventing DANE.
Dr. Cha Rajakaruna, a cardiac surgeon at the Bristol Heart Institute, concluded the discussion by sharing insights from various challenging aortic surgery cases he has encountered and reflected on the lessons learned from each case.
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