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Series of 145 patients characterizes scope of presentations, interventions and outcomes
20 years of Cleveland Clinic experience in ~500 patients with proximal aortic aneurysm or dilation
Technique features heavyweight guidewire and electrocautery to access the aortic sac
Findings hold implications for screening and potential nonsurgical therapy
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Cleveland Clinic experience points to a symptoms- and complications-based approach
Perioperative disadvantages give way to better survival, fewer reinterventions by 5-10 years
A staged hybrid strategy respects the chronic nature of thoracic aortic disease
Residual dissection requires lifelong surveillance
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