Aortic Surgery: State of the Art and Future Directions

Dear Colleagues,

Aortic surgery stands at a pivotal juncture. With the recent recognition by the EACTS of the aorta as an organ in its own right, the field has entered a new era—one that demands a deeper understanding of aortic structure and function, as well as continuous development of treatment strategies. Advances in open and hybrid surgical techniques, along with developments in imaging, device technology, and biologically inspired materials, are expanding the possibilities for durable, anatomy-preserving repair. However, major challenges remain: achieving long-term procedural durability, optimizing timing and patient selection, and translating innovation into measurable improvements in outcomes.

This Special Issue will capture both the current landscape and the future directions of aortic surgery at this defining crossroad. We welcome original research on novel surgical and hybrid approaches. We also encourage outcome analyses and institutional experiences from established centers and multidisciplinary teams, as well as systematic reviews and meta-analyses. By bringing together clinical, surgical, and scientific expertise, this Special Issue will define the state of the art today and highlight the advances shaping the future of aortic therapy.

Dr. Dimos E. Karangelis
Guest Editor

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