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January 26, 2026Interdisciplinary CardioVascular and Thoracic SurgeryOpen Access

Impact of elephant trunk on distal remodelling after surgery for acute type I aortic dissection

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Authors

YPYou Kyeong ParkHCHyoung Woo ChangKPKay-Hyun Park

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Overview

Retrospective analysis demonstrates that TAR-FET significantly promotes remodelling in aortic dissection, suggesting strategic advantages.

Key Points

  • This study investigates the long-term effects of different surgical strategies on aortic remodelling after acute type I aortic dissection.
  • Conducted a single-centre retrospective analysis of 327 patients
  • Categorized patients by surgical strategy: non-TAR, TAR-CET, and TAR-FET
  • Primary outcomes included remodelling of the residual false lumen and composite aortic events
  • TAR with elephant trunk significantly improved aortic remodelling (P < 0.001)
  • FET group showed quicker false lumen thrombosis compared to TAR-CET
  • 1-year and 5-year thrombosis rates for TAR-FET were 85.4% and 90.3%, respectively
  • No significant differences in early postoperative outcomes or overall survival

Cite This Study

Park et al. (2026) studied this question.

synapsesocial.com/papers/6977032e722626c4468e848ehttps://doi.org/10.1093/icvts/ivag023
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