Endovascular management of Stanford type A (ascending) aortic dissection.

摘要

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.