Highlights
In a large single-center series of 850 patients with acute type A aortic dissection (ATAAD), frozen elephant trunk plus total arch replacement (FET + TAR) achieved an operative mortality of 8.4% and acceptable neurologic complication rates despite the complexity of the procedure.
Among early survivors with near-complete follow-up over a mean of 12.5 years, estimated 20-year survival was 70.0% and freedom from reoperation was 85.4%, supporting the durability of this extensive upfront strategy.
