Minimally invasive type A aortic dissection repair: aortic valve resuspension with neomedia creation and the Ascyrus Medical Dissection Stent.

Type A aortic dissection is a life-threatening condition that requires immediate surgical intervention. The goal of traditional approaches is to treat the disease promptly, regardless of invasiveness, in order to achieve the quickest surgical outcome. This strategy has been shown to be associated with significant morbidity, extended recovery and postoperative complications. A minimally invasive technique, in particular a mini-sternotomy, even in cases of type A aortic dissection, can be a viable alternative, reducing surgical trauma and postoperative complications. Despite technical challenges, minimally invasive techniques offer benefits, especially for older patients. Beyond the surgical approach, new technologies and devices (like the Ascyrus Medical Dissection Stent) have also emerged, designed to streamline the surgical process while also ensuring effective results. This case highlights the feasibility and safety of minimally invasive techniques in type A aortic dissection in elderly patients, emphasizing the potential of a more conservative yet effective surgical approach.