Erschienen in:
01.07.2014 | Current Topics Review Article
Clinical dilemma in the surgical treatment of organ malperfusion caused by acute type A aortic dissection
verfasst von:
Takeshi Shimamoto, Tatsuhiko Komiya
Erschienen in:
General Thoracic and Cardiovascular Surgery
|
Ausgabe 7/2014
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Abstract
The malperfusion syndrome associated with acute aortic dissection draws attention because the clinical picture is very dramatic, and patients with malperfusion have poorer clinical outcomes. To improve surgical outcomes, the ischemic damages associated with organ malperfusion should be minimized by restoring perfusion as early as possible, which occasionally can hardly coexist with central repair. This paper reviews the current evidence, problems, and dilemma related to the diagnosis and treatment of the malperfusion syndrome caused by acute type A aortic dissection.