Surgery

Aortic Root Replacement (modified Bentall Procedure) commonly performed for aneurysmal disease of the aortic root, aortic root abscess, acute and chronic aortic dissections. The choice of valve conduit can consist of mechanical or bioprosthetic valve (bovine or porcine).

Aortic Arch Replacement (Trifurcated Graft Technique, Elephant Trunk Stage I) commonly performed for aneurysmal disease of the aortic arch, mycotic (infected) aneurysm, chronic atheroembolism, and chronic aortic dissection.

Distal Aortic Arch and/or Descending Aorta Replacement (Elephant Trunk Stage II) commonly performed for aneurysmal disease of the descending aorta, chronic aortic dissection, coarctation, and hypoplasia.

Thoracoabdominal Aorta Replacement commonly performed for aneurysmal disease of the descending aorta, and chronic aortic dissection.

Valve Sparing Aortic Root Replacement (David or Yacoub Procedure) commonly performed for aneurysmal disease of the ascending and aortic root, acute and chronic aortic dissections, Bicuspid Aortic Valve disease, and Marfan’s disease. The advantage of this procedure is conserving the native aortic valve and avoidance of anticoagulation.

Descending Aorta Replacement commonly performed for aneurysmal disease of the descending aorta, chronic aortic dissection, coarctation, and hypoplasia. Endovascular stenting is performed on aneurysmal disease of the aorta.