REVIEW article
Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1641559
This article is part of the Research TopicRevolutionizing Aortic Repair: Advanced Surgical and Endovascular Techniques for Comprehensive Aortic Management from the Aortic Valve to the Abdominal AortaView all articles
Research Progress on Endovascular Treatment of Stanford Type A Aortic Dissection
Provisionally accepted
- 1Kunming Medical University, Kunming, China
- 2Fuwai Yunnan Cardiovascular Hospital, Kunming, China
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Thoracic endovascular aortic repair (TEVAR) has become the primary treatment for Stanford Type B aortic dissection. With the development of new endovascular grafts for the aortic arch, endovascular treatment for lesions involving all three branches of the aortic arch will gradually be applied in clinical practice. However, Stanford Type A aortic dissection (TAAD), owing to the anatomical characteristics of the aortic root and ascending aorta segment, as well as hemodynamic features, remains a formidable challenge in endovascular repair of aortic diseases. Endovascular repair of Type A aortic dissections presents several unresolved challenges, including significant anatomical variability (e.g., involvement of the coronary arteries, aortic valve, and diverse dissection morphologies), the ability of novel grafts to conform to complex anatomy, the integration of endovascular stents with valve interventions, and the maintenance of long-term coronary artery patency. Currently, there is no ideal endovascular solution or commercialized graft available. This article reviews the research progress in endovascular treatment for TAAD and outlines future technical development directions.
Keywords: Type a aortic dissection, Aortic root, Ascending aorta endovascular repair, endovascular vascular graft, ascending aortic
Received: 05 Jun 2025; Accepted: 22 Aug 2025.
Copyright: © 2025 Xiao, Zhang, Li and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yuan yuan Guo, Fuwai Yunnan Cardiovascular Hospital, Kunming, China
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