Anzeige
Erschienen in:
11.02.2022 | Guest Editorial
Aortic surgery – perspectives, challenges and future trend
Erschienen in: Indian Journal of Thoracic and Cardiovascular Surgery | Sonderheft 1/2022
Einloggen, um Zugang zu erhaltenExcerpt
Aortic surgery as a specialty has developed in leaps and bounds from the platform laid by the likes of Dr. Debakey, Dr. Cooley and Dr. Crawford. Days are gone when cardiovascular surgeons shied away from taking aortic surgery as their career, and many young surgeons are now pursuing it enthusiastically. The first international aortic summit organized by the Guest Editor in 2007 only had a handful of attendees. In 2018, the 7th International aortic summit witnessed more than 300 delegates and in 2020, the 8th International aortic summit (virtual), witnessed 650 plus delegates participating from over 40 countries. This shows the growing enthusiasm in aortic surgery among the younger generation. The reasons could be multi-fold:
1.
Standardization of the surgical procedure by the pioneers, helping to reduce the mortality and morbidity
2.
Improvement in imaging technology, helping to plan the surgery with precision and comfort.
3.
The advancements in cardiopulmonary bypass with better organ protection.
4.
Availability of better device technology. Earlier, the classical elephant trunk needed a cumbersome pull back technique, whereas, at present, the Sienna® grafts with collar help to perform the distal anastomosis at ease.
5.
Knowledge about the dynamics of aortic dilation and the role of genetics.