State-of-the-Art Surgical Management of Acute Type A Aortic Dissection

摘要: Acute type A aortic dissections still present a major challenge to cardiac surgeons. Although surgical management remains the gold standard, operative mortality high, including in experienced centres. Nevertheless, recent advances understanding and of various aspects these complex operations are expected improve overall patient outcomes. The Canadian Thoracic Aortic Collaborative (CTAC) represents group surgeons with interest expertise patients diseases. purpose this state-of-the-art review is detail our approach contemporary acute dissections. We focus specifically on cannulation strategies, cerebral protection, extent proximal distal resection. In addition, specific clinical scenarios-including malperfusion, intramural hematomas, surgery octogenarians-are explored.