How I do acute type A dissection

Worawong Slisatkorn; Wanchai Wongkornrat; Angsu Chartrungsan; Vutthipong Sanphasitvong; Nutthawadee Luangthong

doi:10.1177/02184923251407824

How I do acute type A dissection

Worawong Slisatkorn
, Wanchai Wongkornrat
, Angsu Chartrungsan
, Vutthipong Sanphasitvong
, Nutthawadee Luangthong

Department of Surgery

Siriraj Hospital

Research output: Contribution to journal › Article › peer-review

Abstract

Acute type A aortic dissection is a life-threatening condition that requires urgent surgical intervention. This article presents our institutional approach, offering a systematic, step-by-step guide to surgical management. Key aspects include preoperative preparation, intraoperative monitoring, arterial cannulation strategies, management of malperfusion, cardiopulmonary bypass, myocardial and cerebral protection, and reconstruction of the aortic root, arch, coronary artery, and left subclavian artery. The use of the frozen elephant trunk technique with hybrid devices is described in detail. Operative photographs, echocardiography, and computed tomography angiography are incorporated to support technical understanding and clinical practice.

Original language	English
Pages (from-to)	92-95
Number of pages	4
Journal	Asian Cardiovascular and Thoracic Annals
Volume	34
Issue number	1
DOIs	https://doi.org/10.1177/02184923251407824
Publication status	Published - Jan 2026

Keywords

acute aortic dissection
aortic
aortic dissection
disease
dissection
type A

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AU - Slisatkorn, Worawong

AU - Wongkornrat, Wanchai

AU - Chartrungsan, Angsu

AU - Sanphasitvong, Vutthipong

AU - Luangthong, Nutthawadee

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N2 - Acute type A aortic dissection is a life-threatening condition that requires urgent surgical intervention. This article presents our institutional approach, offering a systematic, step-by-step guide to surgical management. Key aspects include preoperative preparation, intraoperative monitoring, arterial cannulation strategies, management of malperfusion, cardiopulmonary bypass, myocardial and cerebral protection, and reconstruction of the aortic root, arch, coronary artery, and left subclavian artery. The use of the frozen elephant trunk technique with hybrid devices is described in detail. Operative photographs, echocardiography, and computed tomography angiography are incorporated to support technical understanding and clinical practice.

AB - Acute type A aortic dissection is a life-threatening condition that requires urgent surgical intervention. This article presents our institutional approach, offering a systematic, step-by-step guide to surgical management. Key aspects include preoperative preparation, intraoperative monitoring, arterial cannulation strategies, management of malperfusion, cardiopulmonary bypass, myocardial and cerebral protection, and reconstruction of the aortic root, arch, coronary artery, and left subclavian artery. The use of the frozen elephant trunk technique with hybrid devices is described in detail. Operative photographs, echocardiography, and computed tomography angiography are incorporated to support technical understanding and clinical practice.

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How I do acute type A dissection

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