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“More or less”: management of type A aortic dissections in the endovascular era

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The management of type A aortic dissection presents a major therapeutic challenge in modern surgical practice. Whilst the traditional dictum, to provide timely surgical intervention with the minimum treatment needed to repair the ascending aorta as well as the primary tear, may be a reasonable strategy in older patients, a tailored approach is desired for younger patients to manage the immediate life-threatening condition, as well as for the management of lifelong complications of the residual dissected aorta. Endovascular technology continues to advance, providing an adjunctive role to open cardiac repair presently to manage downstream aortic pathology, with the aim of striving towards a complete endovascular solution for type A aortic dissections.

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Authors and Affiliations

  1. Department of Vascular Surgery, Alfred Hospital, Melbourne, VIC, Australia

    Thodur M. Vasudevan

  2. Department of Vascular Surgery, Princess Alexandra Hospital, Brisbane, QLD, Australia

    Yogeesan Sivakumaran

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  1. Thodur M. Vasudevan
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Correspondence to Thodur M. Vasudevan.

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Vasudevan, T.M., Sivakumaran, Y. “More or less”: management of type A aortic dissections in the endovascular era. Indian J Thorac Cardiovasc Surg 38 (Suppl 1), 193–197 (2022). https://doi.org/10.1007/s12055-021-01316-9

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  • DOI: https://doi.org/10.1007/s12055-021-01316-9

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