ArticleFrontiers in cardiovascular medicine2026
Impact of the society for vascular surgery/society of thoracic surgeons classification on prognosis and therapeutic strategies in acute Stanford type A aortic dissection.
Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Objective: The Stanford classification does not differentiate between antegrade and retrograde primary entry tears in acute Stanford type A aortic dissection (ATAAD). The 2020 Society for Vascular Surgery/Society of Thoracic Surgeons (SVS/STS) classification categorizes ATAAD into SVS/STS-A and SVS/STS-B0 based on the location of the primary entry tear; however, its clinical utility requires further validation. This study aims to evaluate the impact of the SVS/STS-A and SVS/STS-B0 on the prognosis and strategies for ATAAD. Methods: We retrospectively reviewed 931 consecutive ATAAD patients at Union Hospital (Wuhan, China) from June 2012 to August 2025. According to the SVS/STS classification criteria, patients were classified as the SVS/STS-A ( Results: The SVS/STS-A patients had more severe proximal aortic pathology, while the SVS/STS-B0 patients had more extensive distal involvement. The SVS/STS-A group underwent more aortic root replacement (36.8% vs. 7.7%, Conclusions: The SVS/STS classification provides effective preoperative risk stratification for ATAAD. The SVS/STS-A dissections carry a higher early mortality risk, necessitating urgent surgical intervention with aggressive management of the aortic root. In contrast, the SVS/STS-B0 dissections allow a wider surgical window, with strategies emphasizing arch replacement and distal remodeling.
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