Aortic Surgery: Latest Advances and Prospects

Dear Colleagues,

The continued evolution of stent graft technology and endovascular techniques able to combat complex aortic pathology has expanded the armamentarium of cardiovascular surgeons in recent decades. Now, more than ever, we are capable of caring for aortic pathology from the root through the arch, and for the descending aorta at all ages and extremes of physiology. Our focus on excellent outcomes for our patients has enabled us to combat these challenging aortic predicaments without compromising on survival.

By paying increased attention to the specialty of aortic surgery, we have been able to enhance our delivery of care, with tailored approaches at the individual level and renewed interest in the timing of surgical intervention for our at-risk population. To continue to meet the needs of our specialty, as well as our aging population, we must remain involved in industry and at the forefront of design and innovation.

This Special Issue, focusing on aortic pathology, seeks to capture the innovation taking place in our specialty. It is my hope that some of the extraordinary research being performed across the world can be presented, with a specific focus on the application of hybrid and total endovascular techniques in order to address complex aortic arch pathology, endovascular zone 0 aortic replacement, physician-modified endografts and branched endografts, and cerebral protection techniques for circulatory arrest. Finally, it is my hope that through this Special Issue, we will be able to address the nuances within the guidelines for intervention. Clearly, aortic pathology is not amenable to a one-size-fits-all approach, and aortas do not behave similarly size-for-size. It is my hope that novel approaches to aortic risk stratification will be brought forth, so as to better capture our vulnerable population and enable timely intervention.

Dr. Todd C. Crawford
Guest Editor

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