https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/de https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/fr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/hi https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/it https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/ko https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/pt https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/es https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/tr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/zh https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/ja https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/de https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/fr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/hi https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/it https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/ko https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/pt https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/es https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/tr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/zh https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/procedure-outline/ja https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/de https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/fr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/hi https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/it https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/ko https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/pt https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/es https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/tr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/zh https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/transcript/ja https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/de https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/fr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/hi https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/it https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/ko https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/pt https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/es https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/tr https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/zh https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0 https://jomi.com/article/494/aortic-hemiarch-and-valve-replacement-for-severe-aortic-stenosis-with-ascending-aortic-ectasia/video/ja https://jomi.com/api/files/0494_Still_Print.jpg Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia https://fast.wistia.net/embed/iframe/7ix3p4bs1g https://embed-ssl.wistia.com/deliveries/af2bf65957e044a70ed638e706b6cdb0.jpg?image_crop_resized=200x120 Aortic Hemiarch and Valve Replacement for Severe Aortic Stenosis with Ascending Aortic Ectasia Severe%20aortic%20valvular%20stenosis%20is%20a%20prevalent%20condition%20with%20potentially%20fatal%20consequences.%20Presenting%20symptoms%20may%20include%20dyspnea%20with%20angina%2Fchest%20pains%20that%20can%20be%20significantly%20lifestyle%20limiting.%20Early%20detection%20and%20treatment%20are%20paramount%20to%20effective%20management%2C%20as%20untreated%20severe%20aortic%20stenosis%20has%20a%20five-year%20mortality%20of%2050%E2%80%9370%25.%20Treatment%20options%20range%20from%20the%20minimally%20invasive%20transcatheter%20approach%20to%20open%20heart%20surgery.%20Each%20strategy%20is%20tailored%20to%20the%20respective%20patient%E2%80%99s%20presentation%2C%20with%20considerations%20for%20cardiac%20anatomy%2C%20comorbidities%2C%20and%20patient%20frailty.%20When%20concomitant%20aortopathy%20is%20present%2C%20an%20open%20approach%20allows%20for%20definitive%20management%20of%20both%20conditions.%C2%A0%0A%0AAortic%20ectasia%20is%20an%20abnormal%20dilation%20of%20the%20ascending%20aorta%20that%2C%20while%20itself%20is%20not%20as%20serious%2C%20can%20be%20a%20precursor%20to%20aortic%20aneurysm%20or%20dissection.%20In%20patients%20undergoing%20surgical%20aortic%20valve%20replacement%2C%20a%20composite%20replacement%20strategy%20can%20also%20address%20concomitant%20aortic%20ectasia%20by%20incorporating%20the%20new%20valve%20into%20an%20aortic%20graft%20segment%20as%20a%20single%20implant. 2580 yes Open Cardiac Surgery https://jomi.com/articles no Journal of Medical Insight no 2025-12-24T16:32:03.113Z weekly 1.0