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Updated: May 17, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[New frontiers in aortic surgery]
Carlo de Vincentiis1, Andrea Biondi, Angela Satriano
1Dipartimento di Cardiochirurgia, IRCCS Policlinico San Donato, San Donato Milanese. devince@libero.it
Insights
Aortic diseases encompass treatments from the aortic valve to the descending aorta. New transcatheter graft techniques offer evolving management options for complex aortic conditions, with long-term results determining their definitive role.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Context:
- Aortic diseases pose significant challenges in cardiac and vascular surgery.
- While thoracic aortic disease treatments are established, mortality and morbidity remain relevant, especially in older patients with complex conditions.
- The infra-diaphragmatic abdominal aorta is traditionally managed by vascular surgery.
Purpose:
- To review the evolving management of aortic diseases, from the aortic valve to the descending aorta.
- To highlight the impact of new grafts and transcatheter techniques on aortic disease treatment.
- To discuss the evidence and long-term outcomes of novel aortic therapies.
Summary:
- Aortic diseases require comprehensive management strategies.
- Advances include transcatheter aortic valve implantation (TAVI) and thoracic endovascular aortic repair (TEVAR).
- Improved understanding of aortic pathology and new graft technologies are driving treatment evolution.
Impact:
- New transcatheter graft procedures are transforming aortic disease management.
- Evidence-based indications and long-term results are crucial for establishing the effectiveness of these advanced therapies.
- These innovations aim to improve safety and provide definitive solutions for aortic conditions.
Abstract:
In cardiac surgery, aortic diseases represent an important chapter, and include treatments from the aortic valve to the descending aorta. The infra-diaphragmatic abdominal aorta, generally and historically, is the domain of vascular surgery. Despite the excellent and consolidated results obtained in the treatment of thoracic aortic disease, surgical mortality and morbidity are still relevant, also due to the presence of older patients with more extensive and complex aortic disease. In the last decades, the better knowledge of the aortic issues and the availability of new grafts have resulted in an important evolution of the management, both at the aortic valve and vessel level, with use of transcatheter grafts (transcatheter aortic valve implantation and thoracic endovascular aortic repair). The evidence of the right indications and the long-term results will determine the real usefulness and effectiveness of these "new" procedures and their role as safe and definitive aortic therapies.
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