The impact of prophylactic ascending aorta replacement on the long-term prognosis of zone 0 hybrid arch repair
Journal of vascular surgery(2022)
Abstract
Although zone 0 was neither dilated nor pathologic, prophylactic zone 0 replacement in zone 0 HAR significantly decreased the incidence of proximal complications, without impairing perioperative safety. Additionally, this strategy was associated with benefits in reducing AAEs in younger patients and patients with type B aortic dissection. Thus, prophylactic zone 0 replacement should be considered for reconstructing a stable proximal landing zone in zone 0 HAR.
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Key words
Aortic arch,Proximal landing zone,Zone 0 hybrid arch repair,Zone 0 replacement
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