Performance of a Safe Proximal Anastomosis in Aortic Dissection

Because of the increased fragility of a freshly dissected aorta, the anastomosis between the aortic root and a tubular prosthesis is not forgiving of technical imperfections and may lead to troublesome bleeding. Providing an appropriate everting surface of contact and a homogenous distribution of tension between the graft and aorta, as described here, should help obtain a hemostatic suture line.