Current Status and Future Challenges of Aortic Arch Surgery
A special issue of Journal of Cardiovascular Development and Disease (ISSN 2308-3425). This special issue belongs to the section "Cardiac Surgery".
Deadline for manuscript submissions: 31 July 2025 | Viewed by 928
Special Issue Editors
Interests: minimal-access cardiac surgery; risk scoring; EuroSCORE; postoperative outcomes; heart and lung transplantation
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Aortic arch surgery is technically challenging and requires true multidisciplinary collaboration at all stages. In preparation for elective aortic arch surgery there is careful planning, requiring input from radiologists, vascular surgeons, cardiothoracic surgeons, perfusionists and anaesthetists. Intraoperatively, this collaboration is even more important, particularly during periods of circulatory arrest, requiring careful management of cerebral and spinal cord perfusion.
With aortic arch replacement being performed at high-volume specialist centres, outcomes have become very good. Advances in techniques such as the use of composite grafts with frozen elephant trunks have also contributed to improved outcomes being observed, but also facilitate the management of descending thoracic aortic pathology.
It is also important to acknowledge that advances in stent technology are continuing, with the prospect of aortic arch stenting starting to become a reality in selected cases, again requiring multidisciplinary input and planning.
In this Special Issue, we hope to explore the state of the art in aortic arch surgery, both elective and emergency, considering the patient pathway and exploring the multidisciplinary considerations that contribute to the excellent outcomes observed.
Dr. Jason Ali
Dr. Ravi De Silva
Guest Editors
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Keywords
- aortic arch
- aneurysm
- aortic dissection
- frozen elephant trunk
- TEVAR
- acute aortic syndrome
- deep hypothermic circulatory arrest
- cerebral perfusion
- spinal cord protection
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