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This study aimed to investigate the efficacy of the IHMS technique for proximal anastomosis in ATAAD. The results suggest that the IHMS technique may offer advantages over the sandwich technique in terms of operative time, duration of proximal anastomosis, extent of cardiopulmonary bypass, intraoperative bleeding and blood transfusion, spontaneous heartbeat recovery, and durations of ventilator use, delirium, and hospital stay.
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