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Optimal management of acute type A aortic dissection with mesenteric malperfusion

Monday, July 28, 2014

Submitted by

Joel Dunning

Source

Source Name: Interactive Journal of Cardiovascular and Thoracic Surgery

Source URL: http://icvts.oxfordjournals.org/content/19/2/290.full

Author(s)

Nisal K. Perera, Sean D. Galvin*, Siven Seevanayagam and George Matalanis

The authors deal with a dramatic complication of acute Type A aortic
dissection - mesenteric malperfusion. They reviewed 309 papers on acute
aortic dissection and concluded that initial interventional management of
mesenteric malperfusion followed by delayed proximal aortic repair is a
reasonable strategy, since the prognosis of those immediately operated on
the ascending aorta was extremely poor.