ArticleReviews in cardiovascular medicine2026
A Novel Selective Sinus Reinforcement Technique for Acute Type A Aortic Dissection Involving the Aortic Root.
Article in Reviews 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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7 authors.
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Abstract
Background: Acute type A aortic dissection (ATAAD) commonly involves the aortic root. We developed a novel selective sinus reinforcement (SSR) technique. This study aimed to investigate the feasibility, effectiveness and safety of this technique. Methods: Between January 2018 and January 2022, a total of 361 consecutive patients underwent surgery for ATAAD. Of these, 186 patients (51.5%) were treated using the SSR technique to repair the involved root. Results: The extent of sinus repair was stratified as follows: single sinus in 62.9%, two sinuses in 30.1%, and all three sinuses in 7.0%. Postoperatively, 5 patients (2.7%) required re-exploration for bleeding unrelated to the root procedure. At a mean follow-up of 35.2 ± 8.5 months, the 3-year overall survival rate was 94.6%. One patient required valve reintervention at 2 years due to late prolapse with severe aortic insufficiency. Conclusions: For ATAAD involving the root, the SSR technique offers a simplified and potentially safer surgical alternative, demonstrating durable aortic valve competence and excellent root stability.
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