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Cardiology2039 papers

Aortic valve disease during pregnancy

Last edited: 4/23/2026

Overview

Aortic valve disease during pregnancy involves the unique challenges posed by the hemodynamic changes and physiological adaptations of pregnancy, potentially exacerbating aortic conditions such as aortic stenosis, regurgitation, or dissection. Management requires balancing maternal and fetal health considerations 33 44.

Diagnosis

Clinical Symptoms: Dyspnea, chest pain, palpitations, and syncope 33.

Imaging Techniques: Echocardiography is essential for initial assessment; CT angiography and MRI may be required for detailed evaluation 22 27.

Grading: Utilize echocardiographic grading systems for valve function and severity 44.

Management

Medical Management: Beta-blockers and ACE inhibitors (if no contraindications) to control blood pressure and heart rate 33.

Surgical Intervention: Indicated for severe symptomatic aortic valve disease; timing must consider gestational age and maternal stability 33 44.

Pregnancy Considerations: Avoid elective surgery during the first trimester and third trimester; aim for second trimester if possible 33.

Special Populations

Pregnancy: Close monitoring and multidisciplinary team involvement essential; timing of intervention critical 33 44.

Comorbidities: Presence of comorbidities like hypertension or connective tissue disorders necessitates tailored management plans 33 44.

Key Recommendations

Multidisciplinary Care: Engage obstetricians, cardiologists, and cardiac surgeons early in management 33 (Evidence: Expert opinion).

Timing of Surgery: Schedule surgical interventions during the second trimester if feasible to optimize maternal and fetal outcomes 33 (Evidence: Expert opinion).

Medical Therapy: Use beta-blockers to control heart rate and blood pressure, avoiding ACE inhibitors if there are no contraindications 33 (Evidence: Moderate).

Close Monitoring: Regular echocardiograms and imaging studies to assess disease progression and fetal well-being 22 27 (Evidence: Moderate).

Avoid Certain Medications: Exclude ACE inhibitors during pregnancy due to potential fetal harm 33 (Evidence: Strong).

References

Showing 100 most recent of 733 indexed papers.

1 Skow RJ, Foulkes SJ, Thompson RB, Grenier J, Moulson N, Niederseer D et al.. Acute effects of aerobic exercise on aortic wall stress in thoracic aortic disease. American journal of physiology. Heart and circulatory physiology 2026. link 2 Spath P, Caputo S, Gallitto E, Di Leo A, Sufali G, Pini R et al.. Midterm Results of Surgical Debranching for Aortic Arch Endovascular Repair. Annals of vascular surgery 2026. link 3 Zeng Z, Huo W, Li T, Bao X, Lu Y, Jing Z et al.. Early Experience With Fenestration Modification of Castor Branched Stent-Graft for Aortic Arch Diseases. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2026. link 4 Van Linden A, Schneider U, Färber G. Frozen elephant trunk implantation in zone 0 using a left subclavian stented prosthesis. Multimedia manual of cardiothoracic surgery : MMCTS 2026. link 5 De Silva R, Kumar U, Farid S. Frozen elephant trunk: Approach and innovations from the UK's leading centre. Asian cardiovascular & thoracic annals 2026. link 6 Krych S, Gniewek J, Kolbowicz M, Adamczyk M, Hrapkowicz T, Kowalczyk P. Oxidative Stress-Induced DNA Damage Response Pathways in Aortic Disease: Implications for Inflammation and Vascular Degeneration. International journal of molecular sciences 2026. link 7 Torikai H, Wilkins L, Norton P, Angle JF. Varied Symptomatology and Computed Tomography Analysis of Coral Reef Aorta: Exploring the Symptom-location Relationship. Journal of computer assisted tomography 2026. link 8 Lau C, Gregg A, Ram E, Mack C, Krieger K, Rahouma M et al.. Long-term survival and operative outcomes of the Bentall procedure for aortic root aneurysm, aortic dissection, and endocarditis. The Journal of thoracic and cardiovascular surgery 2026. link 9 Blakeslee-Carter J, Robinson S, Scali ST, Novak Z, Shahid Z, Huber TS et al.. Cause-specific long-term mortality after physician-modified branched/fenestrated endovascular aortic repair. Journal of vascular surgery 2026. link 10 Francesco Squizzato, D'Oria M, Antonello M, Trimarchi S, Mani K, Holden A et al.. Editor's Choice - International Expert Consensus on the Management of Acute Aortic Type B Intramural Haematoma and Penetrating Ulcer. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2026. link 11 Arias RS, Pineda MJA, De Luna AM. Clinicopathologic study of inflammatory diseases of the aorta: A single-center experience. Annals of diagnostic pathology 2026. link 12 Bacour N, Zafar M, Kargin N, Zinganshin B, Poelmann R, Klautz RJM et al.. Aortic wall lamellar structure in phylogeny and in humans: insights from bicuspid and tricuspid aortic valve morphology. Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology 2026. link 13 Sarsam MA, Karapanagiotidis GT, Dimarakis I. Crescent plication of the aortic sinuses of Valsalva. Perfusion 2026. link 14 Wanhainen A, Gombert A, Antoniou GA, Fidalgo Domingos LA, Gouveia E Melo R, Grabenwöger M et al.. European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Descending Thoracic and Thoraco-Abdominal Aortic Diseases - Editor's Choice. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2026. link 15 Koskas L, Doizi S, Zagzoog M, Davaine JM, Koskas F. Early and Mid-term Results From a Tertiary Care Center for Total Aortic Arch Replacement Using the Thoraflex Hybrid Graft. Vascular and endovascular surgery 2026. link 16 Krishna Moorthy PS, Pau KK, Yakub MA, Faisal MF, Permal DP, Kepli AS. Single centre Asian experience of first 100 cases of frozen elephant trunk procedures: Humble beginning, evolution and lessons learned. Asian cardiovascular & thoracic annals 2026. link 17 Grewal N, Niessen HWM. Beyond the tear: the enduring role of aortic pathology in the era of genomic medicine. Open heart 2026. link 18 Petersen CS, Karon Z, Obel LM, Hasific S, Mejldal A, Krasniqi L et al.. Aortic and Iliac Calcifications as Predictors of Aortic Dissection, Aneurysm Rupture, and Peripheral Vascular Disease: A Prospective Cohort Study from the DANCAVAS Trials. Circulation 2026. link 19 Jang M, Nam SB, Kim YJ, Woo JH, Song SW. Anesthetic Perspective on Total Arch Replacement With Frozen Elephant Trunk Surgery. Journal of cardiothoracic and vascular anesthesia 2026. link 20 Li C, Liu C. Multimodal imaging of acquired aortic diseases: clinical efficacy, comparative analysis, and future perspectives. The international journal of cardiovascular imaging 2026. link 21 Karageorgos V, Chamogeorgakis MM, Ieromonachos K, Koliopoulou A, Papakonstantinou NA, Latsonas P et al.. Arch-First Technique for Extensive Thoracic Aortic Replacement: A Case Series of Patients With Complex Thoracic Aortic Disease. The American journal of case reports 2026. link 22 Vaz A, de Oliveira Santana Ramos D, Reifegerste CP, Serra VC, Araújo LR. CTA of the adult native aorta: Everything you wanted to know (but were never told). Clinical imaging 2026. link 23 Łyko-Morawska D, Serafin M, Szkółka Ł, Kazelka M, Levin M, Senderek E et al.. Indications for antibiotic prophylaxis, and algorithms for dental management after open and endovascular surgery in patients with aortic diseases. Dental and medical problems 2025. link 24 Ram E, Lau C, Gregg A, Harik L, Soletti G, Gaudino M et al.. Planned Versus Emergency Coronary Artery Bypass Grafting During Elective Aortic Root Replacement: Short- and Long-Term Outcomes. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 2025. link 25 McMurtry MS, Skow RJ, Foulkes SJ, Moulson N, McKinney J, Thompson RB et al.. Cardiac Rehabilitation After Thoracic Aortic Surgery. The Canadian journal of cardiology 2025. link 26 Guo MH, Kölbel T, Le Houerou T, Mesnard T, Sobocinski J, Nana P et al.. Impact of arch disease pathology on outcomes of zone 0 branched thoracic endovascular arch repair. Journal of vascular surgery 2025. link 27 Bruno S, Becker D, Prendes CF, Veraldi GF, Pichlmaier M, Peterss S et al.. Distal Endovascular Extension After FET: Short and Mid-Term Outcome in a High-Volume Single-Center Experience. Annals of vascular surgery 2025. link 28 Zenunaj G, Bressan M, Acciarri P, Cosacco AM, Baldazzi G, Traina L. Selective assisted intravascular lithotripsy for complex aorto-iliac calcific lesions. Vascular 2025. link 29 Lioupis C, Francoeur L, Prasad V. Covered endovascular reconstruction of the aortic bifurcation: A versatile technique with many potential applications. Vascular 2025. link 30 DiLosa KL, Manesh M, Kanamori LR, Chan M, Magee GA, Fleischman F et al.. Multi-center experience with an off-the-shelf single retrograde thoracic branch endoprosthesis for acute aortic pathology. Journal of vascular surgery 2025. link 31 Shimizu N, Jinnouchi H, Kato K, Yamagishi K, Kihara T, Takada M et al.. Mortality from Aortic Disease in Relation with Sleep Duration at Night and Daytime Napping: The Japan Collaborative Cohort Study. Journal of atherosclerosis and thrombosis 2025. link 32 Salem R, Van Linden A, Hlavicka J, Karimian-Tabrizi A, Ischewski I, Walther T et al.. Trilateral versus Bilateral Antegrade Cerebral Perfusion in Frozen Elephant Trunk: A Propensity Score Analysis. The Thoracic and cardiovascular surgeon 2025. link 33 Ohira S, Cameron DE, Lansman SL, Spielvogel D. Complex Bentall Operation: Clinical Pearls to Standardize the Procedure. The Annals of thoracic surgery 2025. link 34 Carroll AM, Chanes N, Shah A, Dzubinski L, Aftab M, Reece TB. Personalizing patient risk of a life-altering event: An application of machine learning to hemiarch surgery. The Journal of thoracic and cardiovascular surgery 2025. link 35 Millette TJ, Ramcharitar RK, Monfredi OJ, Thomas MJ, Conaway MR, Dean PN. Exercise, Sports Participation, and Quality of Life in Young Patients with Heritable Thoracic Aortic Disease. Medicine and science in sports and exercise 2025. link 36 Eraqi M, Ghazy T, Cerqueira T, Leip JL, Siepmann T, Mahlmann A. Unpredictable Aortic Behavior in Identifying Risk Factors for Reintervention: A Prospective Cohort Study. The Thoracic and cardiovascular surgeon 2025. link 37 Kletzer J, Czerny M, Kreibich M, Berger T, Bauer N, Dimov A et al.. Correlation Between Intraoperative Near-infrared Spectroscopy Values and Neurologic Outcomes in Patients Undergoing Total Aortic Arch Replacement Using the Frozen Elephant Trunk Technique. Journal of cardiothoracic and vascular anesthesia 2025. link 38 Muntané-Carol G, Romaguera R, Teruel L, Gómez-Hospital JA. Immediate Percutaneous Treatment of Aortic Root Rupture During Transcatheter Aortic Valve Implantation. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2025. link 39 Ouchi T, Kato N, Kato H, Higashigawa T, Ito H, Nakajima K et al.. Scoring system to predict mid-term adverse events after elective thoracic endovascular aortic repair. The Journal of thoracic and cardiovascular surgery 2025. link 40 Chung MM, Yu A, Zhao Y, Wist E, Hohri Y, Kurlansky P et al.. Utility of structured follow-up imaging after aortic surgery. The Journal of thoracic and cardiovascular surgery 2025. link 41 Melloni A, Bertoglio L, Van den Eynde W, Agrusa CJ, Parlani G, Howard DPJ et al.. Outcomes of Percutaneous Access to the First Versus Third Segment of Axillary Artery During Aortic Procedures. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 42 Javerliat I, Jayet J, Coscas R, Duran C, Coggia M. Technique and Long-Term Results of Laparoscopic Aorto-Bi-Femoral Bypass for Juxta-Renal Aortic Occlusion. Annals of vascular surgery 2025. link 43 Xue Y, Lou Y, Wang S, Zhang Y, Wang X, Zhang X et al.. Optimal circulatory arrest temperature for total aortic arch replacement: Outcomes of neurological complications. The Journal of thoracic and cardiovascular surgery 2025. link 44 Okugi S, Saito S, Kikuchi C, Hamasaki A, Niinami H. Comparison of long-term outcomes of the Bentall procedure between patients with and without Marfan syndrome. Heart and vessels 2025. link 45 Sharma VJ, Kangarajah A, Yang A, Kim M, Seevayanagam S, Matalanis G. Valve-sparing aortic root replacement: Long-term variables significantly associated with mortality and morbidity. The Journal of thoracic and cardiovascular surgery 2025. link 46 Mastrorilli D, Mezzetto L, Zanetti E, Macrì M, Criscenti P, Veraldi E et al.. Mid-term Results of Endovascular Reconstruction of Aortic Bifurcation Using COVERA Stent Graft. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 47 Zhao X, Ma X, Wu W. Emergency Endovascular Management of Inadvertent False Lumen Stent Graft Implantation After Frozen Elephant Trunk Procedure: A Case Report. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 48 Yamashita M, Kamiya K, Kitamura T, Hamazaki N, Ichikawa T, Shibuya M et al.. Trajectory of Abdominal Skeletal Muscle Changes During Cardiac Rehabilitation in Patients With Aortic Disease. American journal of physical medicine & rehabilitation 2024. link 49 Huang J, Tian H, Chen Z, Teng B, Zhao Y, Li F. Outcomes of thoracic endovascular aortic repair with physician-manufactured partial micropore stent grafts for aortic arch pathologies. Journal of vascular surgery 2024. link 50 Hatzl J, Böckler D, Fiering J, Zimmermann S, Biscshoff MS, Kalkum E et al.. Systematic Review on Abdominal Penetrating Atherosclerotic Aortic Ulcers: Outcomes of Endovascular Repair. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 51 Bontinis V, Bontinis A, Giannopoulos A, Manaki V, Kontes I, Papas T et al.. Covered endovascular reconstruction of the aortic bifurcation: A systematic review aggregated data and individual participant data meta-analysis. Journal of vascular surgery 2024. link 52 Ramella A, Lissoni V, Bridio S, Rodriguez Matas JF, Trimarchi S, Grossi B et al.. On the necessity to include arterial pre-stress in patient-specific simulations of minimally invasive procedures. Biomechanics and modeling in mechanobiology 2024. link 53 Anzai I, Pearsall C, Blitzer D, Adeniyi A, Ning Y, Zhao Y et al.. Influence of preoperative and intraoperative factors on recovery after aortic root surgery. General thoracic and cardiovascular surgery 2024. link 54 Sá MP, Jacquemyn X, Awad AK, Brown JA, Chu D, Serna-Gallegos D et al.. Valve-Sparing Aortic Root Replacement With Reimplantation vs Remodeling: A Meta-analysis. The Annals of thoracic surgery 2024. link 55 Boufi M, Alexandru G, Tarzi M, Zlitni M, Taghi H, Loundou AD. Systematic Review and Meta-Analysis of Ex-Situ and In-Situ Fenestrated Stent-Grafts for Endovascular Repair of Aortic Arch Pathologies. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2024. link 56 Levine D, Patel P, Zhao Y, Chung M, Singh S, Childress P et al.. Valve-sparing aortic root replacement versus composite valve graft with bioprosthesis in patients under age 50. The Journal of thoracic and cardiovascular surgery 2024. link 57 Piazza M, Squizzato F, Porcellato L, Casali E, Grego F, Antonello M. Predictors of Intervention in Acute Type B Aortic Penetrating Ulcer and Intramural Hematoma. Seminars in thoracic and cardiovascular surgery 2024. link 58 Luo C, Jia B, Li C, Ge Y, Zhong Y, Qiao Z et al.. Perfusion management of arch-clamping technique in total arch replacement with frozen elephant trunk. Perfusion 2024. link 59 Chen D, Fang K, Luo M, Shu C. Timing of Intervention and Long-Term Outcomes of Type B Aortic Intramural Hematoma with Intimal Disruption at Admission. Annals of vascular surgery 2024. link 60 Vekstein AM, Jensen CW, Weissler EH, Downey PS, Kang L, Gaca JG et al.. Long-term outcomes for hybrid aortic arch repair. Journal of vascular surgery 2024. link 61 Sá MP, Jacquemyn X, Tasoudis P, Dufendach K, Singh MJ, de la Cruz KI et al.. Five Year Results of Endovascular versus Medical Therapy in Acute Type B Aortic Intramural Haematoma: Meta-Analysis of Reconstructed Time to Event Data. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2024. link 62 Urbanski PP, Atieh A, Lehmkuhl L, Irimie V, Zhan X, Thamm T et al.. Selective sinus replacement for aortic root repair in bicuspid aortopathy. The Journal of thoracic and cardiovascular surgery 2024. link 63 Thompson MA, Lowry AM, Caputo F, Johnston DR, Smolock C, Vargo P et al.. Ultra-Hybrid Repair: Open Thoracoabdominal Completion After Descending Stent Grafting. Seminars in thoracic and cardiovascular surgery 2024. link 64 Roselli EE, Thompson MA, Yazdchi F, Lowry A, Johnston DR, Desai M et al.. Well-functioning bicuspid aortic valves should be preserved during aortic replacement for the ascending aortopathy phenotype. The Journal of thoracic and cardiovascular surgery 2024. link 65 Vilacosta I, Ferrera C, San Román A. Acute aortic syndrome. Medicina clinica 2024. link 66 Fazzone B, Anderson EM, Krebs J, Ueland W, Viscardi C, Jacobs C et al.. Perioperative Cerebrospinal Fluid Drain Placement Does Not Increase Venous Thromboembolism Risk After Thoracic and Fenestrated Endovascular Aortic Repair. Annals of vascular surgery 2024. link 67 Ram E, Lau C, Dimagli A, Chu NQ, Soletti G, Gaudino M et al.. Reoperative total arch replacement after previous cardiovascular surgery: Outcomes in 426 consecutive patients. The Journal of thoracic and cardiovascular surgery 2024. link 68 Shuto T, Anai H, Wada T, Kawashima T, Mori K, Miyamoto S. Low-flow perfusion technique for shaggy aortic arch. General thoracic and cardiovascular surgery 2024. link 69 Lee KFL, Bhatia I, Chan TLD, Au WKT, Ho KLC. Proximalization of Frozen Elephant Trunk Procedure: Zone 0 or 1 versus Zone 2 or 3 Arch Repair. The Thoracic and cardiovascular surgeon 2024. link 70 Nebelung H, Hoffmann RT, Plodeck V, Kapalla M, Bohmann B, Busch A et al.. Outcome After Conservative and Endovascular Treatment of Stanford Type B Aortic Intramural Hematomas - A Single-Center Retrospective Study. Vascular and endovascular surgery 2024. link 71 Roselli EE, Vargo PR, Bakaeen F, Koprivanac M, Burns D, Kuramochi Y et al.. Branched stented anastomosis frozen elephant trunk repair: Early results from a physician-sponsored investigational device exemption study. The Journal of thoracic and cardiovascular surgery 2024. link 72 Raghavan A, Pirruccello JP, Ellinor PT, Lindsay ME. Using Genomics to Identify Novel Therapeutic Targets for Aortic Disease. Arteriosclerosis, thrombosis, and vascular biology 2024. link 73 Isselbacher EM, Preventza O, Hamilton Black J, Augoustides JG, Beck AW, Bolen MA et al.. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. The Journal of thoracic and cardiovascular surgery 2023. link 74 Kothari P, Bodmer NJ, Ellis S, Kiwakyou LM, Choi C. Highlights and Perioperative Implications from the 2022 American College of Cardiology and American Heart Association Guidelines for Diagnosis and Management of Aortic Disease. Journal of cardiothoracic and vascular anesthesia 2023. link 75 Evangelista A, Sitges M, Jondeau G, Nijveldt R, Pepi M, Cuellar H et al.. Multimodality imaging in thoracic aortic diseases: a clinical consensus statement from the European Association of Cardiovascular Imaging and the European Society of Cardiology working group on aorta and peripheral vascular diseases. European heart journal. Cardiovascular Imaging 2023. link 76 Laczynski DJ, Gallop J, Sicard GA, Sidawy AN, Rowse JW, Lyden SP et al.. Benchmarking a Center of Excellence in Vascular Surgery: Using Acute Physiology and Chronic Health Evaluation II to Validate Outcomes in a Tertiary Care Institute. Vascular and endovascular surgery 2023. link 77 Habib M, Lindström D, Lilly JB, D'Oria M, Wanhainen A, Khashram M et al.. Descending thoracic aortic emergencies: Past, present, and future. Seminars in vascular surgery 2023. link 78 McClure RS, Lindsay TF, Keir M, Bayne JP, Berry RF, Chu MWA et al.. The Aortic Team Model and Collaborative Decision Pathways for the Management of Complex Aortic Disease: Clinical Practice Update From the Canadian Cardiovascular Society/Canadian Society of Cardiac Surgeons/Canadian Society for Vascular Surgery/Canadian Association for Interventional Radiology. The Canadian journal of cardiology 2023. link 79 Khoynezhad A, Worthington T. Hybrid Approaches for Aortic Disease-Our Experience. Annals of vascular surgery 2023. link 80 Tanious A, Lee S, Boitano LT, DeCarlo C, Kim Y, Latz C et al.. Celiac Artery Coverage During TEVAR for Dissection and Acute Aortic Injury is Not Associated with Worse Outcomes. Annals of vascular surgery 2023. link 81 Chou E, Pirruccello JP, Ellinor PT, Lindsay ME. Genetics and mechanisms of thoracic aortic disease. Nature reviews. Cardiology 2023. link 82 Durbak E, Tarraf S, Gillespie C, Germano E, Cikach F, Blackstone E et al.. Ex vivo biaxial load testing analysis of aortic biomechanics demonstrates variation in elastic energy distribution across the aortic zone zero. The Journal of thoracic and cardiovascular surgery 2023. link 83 Brown JA, Navid F, Serna-Gallegos D, Aranda-Michel E, Wang Y, Bianco V et al.. Long-term outcomes of hemiarch replacement with hypothermic circulatory arrest and retrograde cerebral perfusion. The Journal of thoracic and cardiovascular surgery 2023. link 84 Strecker T, Wiesmueller F, Rudnik-Schöneborn S, Hoyer J, Reis A, Weyand M et al.. Familial acute aortic dissection associated with a novel ACTA2 germline variant. Virchows Archiv : an international journal of pathology 2023. link 85 Yerokun BA, Vallabhajosyula P, Vekstein AM, Grau-Sepulveda MV, Benrashid E, Xian Y et al.. Long-term outcomes of aortic root operations in the United States among Medicare beneficiaries. The Journal of thoracic and cardiovascular surgery 2023. link 86 Tanaka A, Chehadi M, Smith HN, Hassan M, Sandhu HK, Miller CC et al.. Deep Hypothermic Circulatory Arrest With Retrograde Cerebral Perfusion: How Long Is Safe?. The Annals of thoracic surgery 2023. link 87 Vacirca A, Dias Neto M, Baghbani-Oskouei A, Huang Y, Tenorio ER, Estrera A et al.. Timing of Intervention for Aortic Intramural Hematoma. Annals of vascular surgery 2023. link 88 Sultan I, Bianco V, Aranda-Michel E, Kilic A, Serna-Gallegos D, Navid F et al.. The use of blood and blood products in aortic surgery is associated with adverse outcomes. The Journal of thoracic and cardiovascular surgery 2023. link 89 Shimamura J, Yokoyama Y, Kuno T, Fujisaki T, Fukuhara S, Takayama H et al.. Systematic review and network meta-analysis of various nadir temperature strategies for hypothermic circulatory arrest for aortic arch surgery. Asian cardiovascular & thoracic annals 2023. link 90 Sultan I, Brown JA, Serna-Gallegos D, Thirumala PD, Balzer JR, Paras S et al.. Intraoperative neurophysiologic monitoring during aortic arch surgery. The Journal of thoracic and cardiovascular surgery 2023. link 91 Dagnegård HSH, Sigvardsen PE, Ihlemann N, Kofoed KF, El-Hamamsy I, Bekke K et al.. Structural abnormalities after aortic root replacement with stentless xenograft. The Journal of thoracic and cardiovascular surgery 2023. link 92 Koliakos N, Papakonstantinou D, Tzortzis AS, Antonopoulos CN, Stavratis FC, Bakopoulos A et al.. A systematic review of the surgical management of secondary aortoduodenal fistula. Journal of vascular surgery 2023. link 93 Tehrani AY, Zhao R, Donen G, Bernatchez P. Heterogenous improvements in endothelial function by sub-blood pressure lowering doses of ARBs result in major anti-aortic root remodeling effects. Nitric oxide : biology and chemistry 2023. link 94 Otaki Y, Watanabe T, Konta T, Watanabe M, Fujimoto S, Sato Y et al.. A Body Shape Index and Aortic Disease-Related Mortality in Japanese General Population. Journal of atherosclerosis and thrombosis 2023. link 95 Shao T, Bornak A, Kang N. Penetrating aortic ulcer and aortic intramural hematoma: Treatment strategy. Vascular 2023. link 96 Keeling WB, Tian D, Farrington W, Sinatra R, Della Corte A, Chiesa R et al.. Prolonged Periods of Antegrade Cerebral Perfusion Are Safe During Elective Arch Surgery. The Annals of thoracic surgery 2023. link 97 Panfilov D, Kozlov B. Partial aortic arch replacement without circulatory arrest: A case study. Perfusion 2023. link 98 Isselbacher EM, Preventza O, Hamilton Black J, Augoustides JG, Beck AW, Bolen MA et al.. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation 2022. link 99 Kariyappa KD, Krishnaswami M, Gnanaprakasam F, Ramachandran M. Imaging Paradigms in Nontraumatic Aortic Emergencies. Current medical imaging 2022. link 100 López Gómez A, Rodríguez R, Zebdi N, Ríos Barrera R, Forteza A, Legarra Calderón JJ et al.. Anaesthetic-surgical guide in the treatment of ascending aorta and surgery of the ascending aorta and aortic arch. Consensus document of the Spanish Society of Cardiovascular and Endovascular Surgery and the Sociedad of Anaesthesiology, Resuscitation and Pain Therapy. Revista espanola de anestesiologia y reanimacion 2022. link

Original source

[1]
Acute effects of aerobic exercise on aortic wall stress in thoracic aortic disease. — Skow RJ, Foulkes SJ, Thompson RB, Grenier J, Moulson N, Niederseer D et al. American journal of physiology. Heart and circulatory physiology (2026)
[2]
Midterm Results of Surgical Debranching for Aortic Arch Endovascular Repair. — Spath P, Caputo S, Gallitto E, Di Leo A, Sufali G, Pini R et al. Annals of vascular surgery (2026)
[3]
Early Experience With Fenestration Modification of Castor Branched Stent-Graft for Aortic Arch Diseases. — Zeng Z, Huo W, Li T, Bao X, Lu Y, Jing Z et al. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2026)
[4]
Frozen elephant trunk implantation in zone 0 using a left subclavian stented prosthesis. — Van Linden A, Schneider U, Färber G Multimedia manual of cardiothoracic surgery : MMCTS (2026)
[5]
Frozen elephant trunk: Approach and innovations from the UK's leading centre. — De Silva R, Kumar U, Farid S Asian cardiovascular & thoracic annals (2026)
[6]
Oxidative Stress-Induced DNA Damage Response Pathways in Aortic Disease: Implications for Inflammation and Vascular Degeneration. — Krych S, Gniewek J, Kolbowicz M, Adamczyk M, Hrapkowicz T, Kowalczyk P International journal of molecular sciences (2026)
[7]
Varied Symptomatology and Computed Tomography Analysis of Coral Reef Aorta: Exploring the Symptom-location Relationship. — Torikai H, Wilkins L, Norton P, Angle JF Journal of computer assisted tomography (2026)
[8]
Long-term survival and operative outcomes of the Bentall procedure for aortic root aneurysm, aortic dissection, and endocarditis. — Lau C, Gregg A, Ram E, Mack C, Krieger K, Rahouma M et al. The Journal of thoracic and cardiovascular surgery (2026)
[9]
Cause-specific long-term mortality after physician-modified branched/fenestrated endovascular aortic repair. — Blakeslee-Carter J, Robinson S, Scali ST, Novak Z, Shahid Z, Huber TS et al. Journal of vascular surgery (2026)
[10]
Editor's Choice - International Expert Consensus on the Management of Acute Aortic Type B Intramural Haematoma and Penetrating Ulcer. — Francesco Squizzato, D'Oria M, Antonello M, Trimarchi S, Mani K, Holden A et al. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery (2026)
[11]
Clinicopathologic study of inflammatory diseases of the aorta: A single-center experience. — Arias RS, Pineda MJA, De Luna AM Annals of diagnostic pathology (2026)
[12]
Aortic wall lamellar structure in phylogeny and in humans: insights from bicuspid and tricuspid aortic valve morphology. — Bacour N, Zafar M, Kargin N, Zinganshin B, Poelmann R, Klautz RJM et al. Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology (2026)
[13]
Crescent plication of the aortic sinuses of Valsalva. — Sarsam MA, Karapanagiotidis GT, Dimarakis I Perfusion (2026)
[14]
European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Descending Thoracic and Thoraco-Abdominal Aortic Diseases - Editor's Choice. — Wanhainen A, Gombert A, Antoniou GA, Fidalgo Domingos LA, Gouveia E Melo R, Grabenwöger M et al. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery (2026)
[15]
Early and Mid-term Results From a Tertiary Care Center for Total Aortic Arch Replacement Using the Thoraflex Hybrid Graft. — Koskas L, Doizi S, Zagzoog M, Davaine JM, Koskas F Vascular and endovascular surgery (2026)
[16]
Single centre Asian experience of first 100 cases of frozen elephant trunk procedures: Humble beginning, evolution and lessons learned. — Krishna Moorthy PS, Pau KK, Yakub MA, Faisal MF, Permal DP, Kepli AS Asian cardiovascular & thoracic annals (2026)
[17]
Beyond the tear: the enduring role of aortic pathology in the era of genomic medicine. — Grewal N, Niessen HWM Open heart (2026)
[18]
Aortic and Iliac Calcifications as Predictors of Aortic Dissection, Aneurysm Rupture, and Peripheral Vascular Disease: A Prospective Cohort Study from the DANCAVAS Trials. — Petersen CS, Karon Z, Obel LM, Hasific S, Mejldal A, Krasniqi L et al. Circulation (2026)
[19]
Anesthetic Perspective on Total Arch Replacement With Frozen Elephant Trunk Surgery. — Jang M, Nam SB, Kim YJ, Woo JH, Song SW Journal of cardiothoracic and vascular anesthesia (2026)
[20]
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Correlation Between Intraoperative Near-infrared Spectroscopy Values and Neurologic Outcomes in Patients Undergoing Total Aortic Arch Replacement Using the Frozen Elephant Trunk Technique. — Kletzer J, Czerny M, Kreibich M, Berger T, Bauer N, Dimov A et al. Journal of cardiothoracic and vascular anesthesia (2025)
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Timing of Intervention and Long-Term Outcomes of Type B Aortic Intramural Hematoma with Intimal Disruption at Admission. — Chen D, Fang K, Luo M, Shu C Annals of vascular surgery (2024)
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Proximalization of Frozen Elephant Trunk Procedure: Zone 0 or 1 versus Zone 2 or 3 Arch Repair. — Lee KFL, Bhatia I, Chan TLD, Au WKT, Ho KLC The Thoracic and cardiovascular surgeon (2024)
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