18.8 Conclusion
The surgical management of chronic descending aortic dissection is actually similar to the treatment of descending and TAAAs. Stable, uncomplicated descending aortic and thoracoabdominal aortic dissections do not require surgical repair. The indication for surgical intervention is aneurysm formation, following the same criteria as in degenerative or Marfan-related TAAs and TAAAs.
Adjunctive protective measures and strategies are crucial in decreasing peri- and postoperative complications.
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Jacobs, M.J. (2006). Surgical Treatment of Chronic Descending Aortic Dissection. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_18
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