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To Repair or Replace- The Root Dilemma in Aortic Dissections
  • Pradeep Narayan,
  • Gianni Angelini
Pradeep Narayan
Rabindranath Tagore International Institute of Cardiac Sciences
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Gianni Angelini
Bristol University
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Abstract

Significant dilemma exists regarding management of the aortic root pathology in acute aortic dissections. Several strategies for both repair and replacement exist and there is a lack of clarity on the superiority of one over the other. Important factors that influence management strategies include involvement of the sinuses, competence of the aortic valve, presence of Marfan's syndrome and connective tissue disorders, as well as availability of surgical expertise. The wide variability in these factors makes it unlikely for any one technique to be suitable for management of all aortic roots and the root pathology has to be tailored to an individual patient.
14 Jun 2022Submitted to Journal of Cardiac Surgery
15 Jun 2022Assigned to Editor
15 Jun 2022Submission Checks Completed
15 Jun 2022Editorial Decision: Accept