Management of Acute Type A Aortic Dissection
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Updated: May 28, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Jessica S Clothier1, Serge Kobsa1
1USC Comprehensive Aortic Center, Division of Cardiac Surgery, Department of Surgery, Keck School of Medicine of the University of Southern California, 1520 San Pablo St, Suite 4300 Los Angeles, CA 90033, USA.
Abstract:
This article reviews the management of acute type A aortic dissection (ATAAD), from initial temporizing medical therapy to the technical aspects of urgent surgical repair, which is the definitive treatment for ATAAD. Surgical repair and the extent of aortic resection and replacement are dictated by the location and extent of intimal tears, as well as aneurysmal dilation of the aorta. Cardiopulmonary bypass, hypothermic circulatory arrest, and cerebral perfusion are major considerations in management of this acute process. Several techniques pertinent to each portion of the involved aorta and relevant intraoperative management points are also discussed.
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