Type A aortic dissection complicated by malperfusion syndrome
Purpose of review
Malperfusion is present in up to 40% of acute type A aortic dissections (ATAADs) and results in increased morbidity and mortality. This review presents different management strategies in patients with ATAAD and malperfusion to improve outcomes.
Recent findings
While the ideal management strategy of ATAAD complicated by malperfusion has yet to be determined, the literature provides evidence for additional techniques to be used in conjunction with central aortic repair to reduce mortality.
Summary
Recent findings support a role for initial reperfusion and delayed central aortic repair, although optimal management strategy remains debated.
Source: Current Opinion in Cardiology - Category: Cardiology Tags: DISEASES OF THE AORTA, PULMONARY AND PERIPHERAL VESSELS: Edited by Alan Braverman Source Type: research