The role of delayed aortic surgery in type A aortic dissection and mesenteric ischemia: a systematic review and meta-analysis.

ABSTRACT:

Introduction

Approximately one third of patients with Acute Type A Aortic Dissection (ATAAD) present with pre-operative malperfusion syndromes (MPS). Of these, mesenteric malperfusion represents the greatest risk to patients with respect to increased short-term mortality. In select patients, it may be feasible to offer a staged approach by treating the mesenteric malperfusion first, optimizing the patient in the intensive care setting and then, following with a central aortic repair. The aim of this systematic review is to summarize cohort studies assessing the role of pre-operative interventions for mesenteric malperfusion.

Methods

An electronic literature search of five databases was performed to identify all relevant studies providing studies examining short-term mortalit

SUBMITTER: Eranki A 

PROVIDER: S-EPMC10439544 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature