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Postoperative acute renal failure after ATAAD constitutes a severe and insidious complication. Acute renal damage is observed in many patients with ATAAD preoperatively and it burdens the renal function postoperatively. Renal replacement therapy represents an additional risk factor for short\u2010, mid\u2010, and long\u2010term outcomes after ATAAD repair. Brown et al.'s present study highlight the clinical significance of this complication. Also, they remind us of the importance of optimizing perioperative renal protective strategies in patients undergoing ATAAD repair.<\/jats:p>","DOI":"10.1111\/jocs.16613","type":"journal-article","created":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T23:33:25Z","timestamp":1652744005000},"page":"2618-2620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute renal failure after acute type A aortic dissection repair. 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