Key result
Successful endovascular stent graft repair of ascending aortic dissection requires a sufficient proximal landing zone while preserving aortic valvular competence and coronary perfusion.
Endovascular management of Stanford Type A aortic dissection is an emerging option that requires specific anatomical conditions, such as a sufficient proximal landing zone, for successful stent graft repair.
With advances in endovascular technology and stent graft improvement over the past decade, it might be only a matter of time before pure endovascular management of ascending aortic dissection becomes a viable option. Successful endovascular stent graft repair of thoracic aortic dissection involving the ascending aorta and aortic arch requires a sufficient proximal landing zone with a portion of healthy aorta for the stent graft to fix and seal, while preserving aortic valvular competence, coronary and supra-aortic perfusion.
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Chan et al. (2009) conducted a review in Stanford Type A (Ascending) Aortic Dissection. Endovascular management was evaluated. Successful endovascular stent graft repair of ascending aortic dissection requires a sufficient proximal landing zone while preserving aortic valvular competence and coronary perfusion.
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