Mesenteric Malperfusion Syndromes in Type A Aortic Dissection: Current Management Strategies

Pierre M Sfeir; Khalil Issa; Chakib M Ayoub

doi:10.1053/j.jvca.2021.05.056

Mesenteric Malperfusion Syndromes in Type A Aortic Dissection: Current Management Strategies

J Cardiothorac Vasc Anesth. 2021 Dec;35(12):3711-3719. doi: 10.1053/j.jvca.2021.05.056. Epub 2021 Jun 5.

Authors

Pierre M Sfeir¹, Khalil Issa², Chakib M Ayoub³

Affiliations

¹ American University of Beirut Medical Center, Department of Surgery, Beirut, Lebanon.
² Duke University School of Medicine, Durham, NC.
³ Department of Anesthesiology, Duke University Medical Center, Durham, NC. Electronic address: [email protected].

PMID: 34217577
DOI: 10.1053/j.jvca.2021.05.056

Abstract

Acute type A aortic dissection is a surgical emergency associated with high mortality and morbidity. When complicated with mesenteric malperfusion, its management carries a very high mortality. Many innovations in the field of vascular and cardiothoracic surgery in the last two decades have been tried in the continuous efforts to improve on the surgical outcomes. Although some reports have documented better mortality rates with reperfusion-first strategies, there is still room for improvement in the absence of a general consensus on its management.

Keywords: TEVAR; fenestration; malperfusion; surgery; thoracic endovascular aortic repair; type A dissection.

Publication types

Review

MeSH terms

Acute Disease
Aortic Aneurysm, Thoracic* / diagnostic imaging
Aortic Aneurysm, Thoracic* / surgery
Aortic Dissection* / complications
Aortic Dissection* / diagnostic imaging
Aortic Dissection* / surgery
Blood Vessel Prosthesis Implantation*
Endovascular Procedures*
Humans
Retrospective Studies
Syndrome
Treatment Outcome