Reconstructive surgery on the aortic root, ascending aorta and aortic arch
Aortic arch operations are very complex procedures where replacement of the aortic root (reimplantation, reconstruction, relocation) can extend to the carotid arteries. We use various techniques to protect the blood supply to the brain as well as prevent the formation of potential embolisms. In most cases, aortic disease is in the form of aneurisms caused by age-related vascular degeneration.
In some patients, the aortic wall has lost its rigidity, as for example with Marfan’s syndrome. Aortic dissection in the thoracic aorta (type A according to the Stanford classification or type I according to the DeBakey classification) is an indication for emergency surgery. Acute dissection of the ascending aorta is a very critical disease with a high mortality rate. According to some studies, fewer than 50% of patients survive one week after the start of the dissection, unless the condition is surgically corrected.