Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Aortic Regurgitation I: Introduction

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Is impacted earwax a hidden obstacle for OTC hearing aid users?

International journal of audiology·2025

Same author

Impacts of COVID-19 pandemic on kidney biopsy research, practice, and diagnoses: A cross-sectional audit.

Medicine·2025

Same author

Impact of an On-Call Specialist Aortic Rota Implementation in Acute Type a Aortic Dissection on Outcomes and Repair Complexity: A Retrospective Cohort Study.

Interdisciplinary cardiovascular and thoracic surgery·2025

Same author

Epidemiology of Musculoskeletal Injuries of U.S. Coast Guard Academy Cadets During Initial Military Training From 2018 to 2023.

Military medicine·2025

Same author

Investigating the epigenetic basis for aortic aneurysm risk in patients with bicuspid aortic valve disease.

Perfusion·2025

Same author

Hybrid thoraco-abdominal aortic repair via limited thoraco-phreno-laparotomy using Thoracoflo® Graft.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2025

Search research articles

Related Experiment Video

Updated: Dec 8, 2025

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Does adding a root replacement in type A aortic dissection repair provide better outcomes?

Wahaj Munir¹, Amer Harky^2,3,4,5, Mohamad Bashir⁶

¹Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.

Journal of Cardiac Surgery

|September 17, 2020

Summary

This summary is machine-generated.

Management of the aortic root in acute type A aortic dissection remains controversial. Evidence conflicts on optimal strategies, with reoperation risk higher when the native aortic root is not replaced.

Keywords:

aorta dissection outcomes root survival

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Related Experiment Videos

Last Updated: Dec 8, 2025

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Aortic Disease

Background:

Acute type A aortic dissection (ATAAD) is a life-threatening surgical emergency.
Management of the aortic root in ATAAD is debated, with options including root replacement or preservation.

Purpose of the Study:

To review current evidence on outcomes of aortic root management in ATAAD.
To analyze the impact of root preservation versus replacement on mortality and reoperation rates.

Main Methods:

Systematic literature search of PubMed, Embase, SCOPUS, Google Scholar, and Cochrane.
Inclusion of studies reporting outcomes of aortic root repair in ATAAD, focusing on mortality and reoperation.

Main Results:

Conflicting evidence exists regarding the impact of root replacement versus preservation on survival rates.
Higher rates of reoperation are associated with aortic root preservation in ATAAD.
Decision-making is surgeon-dependent, influenced by dissection extent, valve status, and coronary involvement.

Conclusions:

Controversy persists regarding the optimal management of the aortic root in ATAAD.
While some studies show no significant mortality difference, reoperation risk is higher with root preservation.
Limitations include retrospective designs, small sample sizes, and potential treatment bias in existing studies.