Commentary: It is okay to leave the dissected aortic root alone, but no felt or bio-glue please!

When a surgeon is doing an acute type A aortic dissection (ATAAD) repair, the two main anatomic areas for decision making are: 1.) the aortic root and 2.) the aortic arch. Since the molecular mechanism of ATAAD is unknown and it is difficult to anticipate who will need reoperation on the aortic root, the decision to preserve or replace the aortic root can be challenging. Compounding the decision is that the short- and long-term outcomes for reoperation on aortic root pathology in patients who had an initial ATAAD repair are unknown.
Source: Seminars in Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ADULT – Commentary Source Type: research