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. Author manuscript; available in PMC: 2023 Dec 13.
Published in final edited form as: Circulation. 2022 Nov 2;146(24):e334–e482. doi: 10.1161/CIR.0000000000001106

Recommendations for PAU Open Surgical Repair Versus Endovascular Repair

COR LOE Recommendations
1 C-LD 1. In patients who require repair of a PAU in the ascending aorta or proximal aortic arch (zones 0–1), open surgical repair is recommended.
2a C-LD 2. In patients who require repair of a PAU in the distal aortic arch (zones 2–3), descending thoracic aorta, or abdominal aorta, either open surgical repair13 or endovascular repair is reasonable, based on anatomy and medical comorbidities.46