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Mid-Term Outcomes of a Hybrid Approach Involving Open Surgery Plus TEVAR of the Descending Aorta in the Treatment of Complex Type A Dissection

Friday, January 6, 2023

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Source Name: The Thoracic and Cardiovascular Surgeon


Li, Jing; Stadlbauer, Andrea; Terrazas, Amando; Floerchinger, Bernhard; Rupprecht, Leopold; Pfister, Karin; Creutzenberg, Marcus

This study compares the clinical outcomes of two operative strategies for type A aortic dissection with true lumen collapse and malperfusion downstream, which is associated with a devastating prognosis. The authors compare a hybrid approach of ascending aorta (and hemiarch replacement) supplemented with retrograde stenting of the descending aorta (thoracic endovascular aortic repair [TEVAR]) with standard ascending aorta (and hemiarch) replacement without stent placement.

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