The aortic arch management for type A aortic dissection: aggressive but experienced (original) (raw)

The article reviews the outcomes of aggressive surgical techniques for managing type A aortic dissection (ATAAD), particularly focusing on the role of complete aortic arch replacement compared to hemiarch repair. The authors summarize findings from previous studies and meta-analyses indicating that while total arch replacement involves higher procedural risks, such as longer circulatory arrest times, these may not significantly impact overall mortality and long-term survival rates. The conclusion highlights the importance of experienced surgical intervention in improving patient outcomes in this serious condition.