Aortic root reconstruction in acute type A aortic dissection - a simplified technique preserving aortic root geometry

Stanford type A aortic dissection (TAAD) poses significant challenges in cardiovascular surgery, particularly concerning the stabilization of the dissected layers. In selected patients, conserving the aortic root with stabilization of the dissected flap may be feasible. The major concern in such patients include, obliteration of the false lumen, prevention of bleeding and competence of aortic valve. We describe a modified technique wherein the aortic root is conserved negating all the above concerns. To the best of our knowledge, this technique has not been described earlier. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12055-025-01959-y.