Repeat operations involving the aortic root, ascending aorta, and arch (proximal aorta)
are technically challenging. These procedures are associated with higher operative
mortality and morbidity. A dedicated surgical team with special skill set is essential
to manage these complex patients. Redo root and proximal aortic procedures can be
done with acceptable risk in most patients with attention to details involving the
surgical procedure, patient selection, and perioperative management.
Keywords
ascending aorta - aortic root - reoperation - cerebral protection - myocardial protection
- extracorporeal membrane oxygenator - circulatory arrest
