Technique features heavyweight guidewire and electrocautery to access the aortic sac
Findings hold implications for screening and potential nonsurgical therapy
Cleveland Clinic experience points to a symptoms- and complications-based approach
Perioperative disadvantages give way to better survival, fewer reinterventions by 5-10 years
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A staged hybrid strategy respects the chronic nature of thoracic aortic disease
12-year-old will likely avoid some future surgeries thanks to multidisciplinary expertise
Residual dissection requires lifelong surveillance
Pathophysiologic understanding and deep experience with BAV are invaluable
Advice on combining size-based management with family history and other factors