Endovascular reperfusion followed by delayed open aortic repair in stable acute type A aortic dissection with malperfusion syndrome: a single-center experience.

ABSTRACT:

Background

We aimed to evaluate the outcomes of endovascular reperfusion followed by delayed open aortic repair in patients with acute type A aortic dissection (ATAAD) and malperfusion syndrome (MPS), as well as risk factors for mortality associated with organ failure.

Methods

We retrospectively selected 777 patients with ATAAD admitted to our center. Patients with MPS (n = 121; 15.6%), who were hemodynamically stable and without evidence of aortic rupture/tamponade, underwent interventional reperfusion (IR) through aortic/mesenteric branch stenting, followed by delayed open aortic repair (OR). Patients without MPS (non-MPS) (n = 656; 84.4%) received immediate open aortic repair.

Results

Overall hospital mortality was 37.2% in patients with ATAAD and MPS

SUBMITTER: Ye M 

PROVIDER: S-EPMC12933946 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature