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Minerva Cardioangiologica 2020 Apr 21

DOI: 10.23736/S0026-4725.20.05263-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Thoracic aortic surgery: status and upcoming novelties

Cristiano SPADACCIO 1, 2, 3 , Haiou HU 3, Chengnan LI 3, Zhiyu QIAO 3, Yipeng GE 3, Zheng TIE 3, Junming ZHU 3, Mark MOON 4, Mark DANTON 5, Lizhong SUN 3, Mario F. GAUDINO 6

1 Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK; 2 Department of Cardiac Surgery, Golden Jubilee National Hospital, Glasgow, UK; 3 Department of Cardiovascular Surgery, Beijing Aortic Disease Centre, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Diseases, Beijing Engineering Research Centre for Vascular Prostheses, Beijing, China; 4 Washington University School of Medicine, St Louis, MO, USA; 5 Department of Cardiac Surgery, Scottish Pediatric Cardiac Services, Royal Hospital for Children, Glasgow, UK; 6 Department of Cardiothoracic Surgery Weill Cornell Medicine, Presbyterian Hospital, New York, NY, USA


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Several novel technological developments and surgical approaches have characterized the field of aortic surgery in the recent decade. The progressive introduction of endovascular procedure, minimally invasive surgical techniques and hybrid approaches have changed the practice in aortic surgery and generated new trends and questions. Also, the advancements in the manufacturing of tissue engineered vascular grafts as substitutes for aortic replacements are enlightening new avenues in the treatment of aortic disease. This review will provide an overview of the current novel perspectives, debates and trends in major thoracic aortic surgery.


KEY WORDS: Thoracic aortic surgery; Open surgery; Endovascular repair; Aortic dissection; Type A dissection; Type B dissection; Aortic arch; Minimally invasive surgery; Brain protection; Tissue engineering; Vascular grafts

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