Key result
Redo surgery correcting graft geometry eliminated recurrent embolic events during follow-up in a patient with a severely kinked ascending graft and recurrent strokes despite therapeutic anticoagulation.
Why the study?
Does redo surgery correcting graft geometry prevent recurrent embolic events in patients with a kinked ascending aortic graft without visible thrombus?
Does redo surgery correcting graft geometry prevent recurrent embolic events in patients with a kinked ascending aortic graft without visible thrombus?
Answers are grounded in this paper and cite their sources.
Severely angulated ascending aortic grafts can create disturbed flow that acts as a functional thrombus, justifying surgical correction to prevent embolic events even when no clot is visualized.
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Dalal et al. (2026) conducted an editorial in Severely kinked ascending aortic graft with recurrent ischemic strokes (n=1). Redo surgery correcting graft geometry was evaluated on Recurrent embolic events. Redo surgery correcting graft geometry eliminated recurrent embolic events during follow-up in a patient with a severely kinked ascending graft and recurrent strokes despite therapeutic anticoagulation.
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