- Replacement of the ascending aorta, if necessary the proximal and distal aortic arch and the descending thoracic aorta in the event of aneurysm or dissection in deep hypothermia, total circulatory arrest and / or selective brain perfusion under continuous neuroprotective monitoring of brain function.
- In acute aortic dissection type A according to Stanford, preservation of the aortic valve or reconstruction (surgical procedure according to David or Yacoub) is always attempted using the above-mentioned protective procedures.
- If short- or long-distance replacement of the descending thoracic aorta is required for aneurysm/dissection type B according to Stanford and endoluminal implantation of stent prostheses is not possible, open procedures are performed with optimal spinal cord protection (left heart bypass, surgery in deep hypothermia and circulatory arrest) in order to minimise the risk of paraplegia caused by the operation.
If the supra-aortic branches are included in a dissection, they may be partially replaced or desobliterated at the same time. The aim is always to rehabilitate the ascending / arch area as far as possible.
