Background: Perioperative stroke remains a devastating complication in the operative
treatment of acute type A aortic dissection. To reduce the risk of perioperative stroke …

Background: Malperfusion adversely affects outcomes in patients with acute type A aortic
dissection, but reliable quantitative data are lacking. Objectives: The aim of this study was to …

Aortic arch surgery necessitates interrupted brain perfusion and carries a risk of brain injury.
Various brain protective techniques have been advocated to reduce risk including …

OBJECTIVE: Open total arch procedures have been associated with significant morbidity
and mortality in patients with multiple comorbidities. Aortic arch debranching with …

BACKGROUND: Cerebral protection during aortic arch surgery can be performed using
various surgical strategies. We retrospectively analyzed our results of different brain …

Objective Cerebral protection for aortic arch surgery has been widely studied, but
comparisons of all the available strategies have rarely been performed. We performed direct …

Background: Repair of aortic arch aneurysm is technically demanding, requiring complex
circulatory management. Very large atherosclerotic saccular aneurysms of the arch are …

OBJECTIVE: For aortic arch aneurysms, conventional total arch replacement has been the
standard surgical option. In selected high-risk patients, we have attempted less invasive …

Cardiovascular surgeons have long debated the safe duration of deep hypothermic
circulatory arrest during thoracic aortic aneurysm surgery. The rationale for using adjunctive …

Complex ascending and aortic arch surgery requires the implementation of different cerebral
protection strategies to avoid or limit the probability of intraoperative brain damage during …