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Cardiovasc. Med."],"abstract":"<jats:p>Background:Acute type A aortic dissection (ATAAD) commonly involves the aortic root. We developed a novel selective sinus reinforcement (SSR) technique. This study aimed to investigate the feasibility, effectiveness and safety of this technique.Methods:Between January 2018 and January 2022, a total of 361 consecutive patients underwent surgery for ATAAD. Of these, 186 patients (51.5%) were treated using the SSR technique to repair the involved root.Results:The extent of sinus repair was stratified as follows: single sinus in 62.9%, two sinuses in 30.1%, and all three sinuses in 7.0%. Postoperatively, 5 patients (2.7%) required re-exploration for bleeding unrelated to the root procedure. At a mean follow-up of 35.2 \u00b1 8.5 months, the 3-year overall survival rate was 94.6%. One patient required valve reintervention at 2 years due to late prolapse with severe aortic insufficiency.Conclusions:For ATAAD involving the root, the SSR technique offers a simplified and potentially safer surgical alternative, demonstrating durable aortic valve competence and excellent root stability.<\/jats:p>","DOI":"10.31083\/rcm49343","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:17:46Z","timestamp":1788437866000},"source":"Crossref","is-referenced-by-count":0,"title":["A Novel Selective Sinus Reinforcement Technique for Acute Type A Aortic Dissection Involving the Aortic Root"],"prefix":"10.31083","volume":"27","author":[{"given":"Hua-Jie","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling-Ling","family":"Zeng","sequence":"additional","affiliation":[{"name":"Outpatient Department, Children\u2019s Hospital of Chongqing Medical University, 400014 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Bo","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mao-Ting","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling-Feng","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8908-5490","authenticated-orcid":true,"given":"Wei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), 400038 Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Gemelli M, Rojanathagoon T, van den Eynde J, Italiano EG, Lena T, Pompeu S\u00e1 M, et al. 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