The 20-year outcome of ascending aorta replacement and total arch replacement comparison in DeBakey type I acute aortic dissection

No significant differences were observed between TAR and AR in terms of 30-day mortality, reintervention events, aorta-related mortality, or overall mortality under the tear-oriented policy for acute DeBakey type I aortic dissection. Notably, older patients undergoing TAR had poorer overall survival outcomes than did those undergoing AR, particularly among patients older than 65 years.