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J Thorac Cardiovasc Surg 2006;131:777-778
© 2006 The American Association for Thoracic Surgery

Editorial

Stenting the descending aorta during repair of type A dissection: Technology looking for an application?

Section of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Conn

Received for publication October 17, 2005; accepted for publication October 20, 2005.

^_* Address for reprints: John A. Elefteriades, MD, Section of Cardiothoracic Surgery, Yale University School of Medicine, 121 FMB, 333 Cedar St, New Haven, CT 06510 (Email: john.elefteriades@yale.edu).

The first 20% of the full text of this article appears below.

In this issue of the Journal, Uchida and colleagues ¹ provide important data on emerging technology in the field of endoluminal treatment of aortic disease. They report an elegant hybrid technique for repair of acute type A aortic dissection. The authors use the traditional open surgical method for identification and resection of the inciting intimal tear and complete the procedure with stent deployment into the descending aorta under direct, open visualization. They hope that the effort expended to stent the descending aorta at the time of the original operation will translate into benefit in the long term. They anticipate that such endovascular treatment will favorably alter the fate of the remaining dissected descending aorta and, in so doing, decrease future complications and need for reoperation.

We are glad to see that it is our surgical colleagues who are pioneering this new technology. These same authors generated an early report on this topic ² and should be commended on their continuing effort to provide us with current, relevant data. In this issue they report additional follow-up information, further documenting their evolving experience.

The authors' rationale for adding endovascular stenting (to an already successfully proven open surgical procedure) is based primarily on two suppositions. They suggest, first, that the remaining dissected descending aorta . . . [Full Text of this Article]

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