Introduction
Acute DeBakey type I aortic dissections frequently present
symptomatically at the time of dissection onset and have been associated
with risks of aortic rupture, acute severe aortic regurgitation, and/or
cardiac tamponade1,2. Classically, the treatment for
an acute DeBakey type I aortic dissection is with an open surgical
repair with an ascending aortic replacement, hemiarch replacement, zone
1 arch, zone 2 arch, and/or total arch replacement. The various
approaches for this operation3, are balanced with the
severity of presentation, immediate mortality risk, facility resources,
and surgeon preference. We herein present one of first reports of
Cor-Knot automated fastener utilization in aortic arch surgery.
Institutional Review Board approval was waived, and informed consent was
obtained.