Acute type A aortic dissection (TAAAD) is a rare, life threatening emergency.Improvements in surgical management and postoperative blood pressure control have madeit clear that the TAAAD is a brief phase in a chronic disease process. Dissection thatextends to the distal arch and aorta may cause late complications such as aneurysmaldegeneration. The surgeon, therefore, must manage TAAAD with this in mind, and allowextra graft length or debranch the supra-aortic vessels to facilitate late reintervention. Thisis particularly important in younger patients with distal aortic involvement. Options for latedistal reintervention include open surgical replacement of the aorta, aneurysm exclusionwith endovascular stent grafts, including the rapidly maturing branched graft technologies,or a combination of the two in a hybrid procedure.
Reintervention In Endodontics Book Pdf --
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