Managing Malperfusion Syndrome in Acute Type A Aortic Dissection With Previous Cardiac Surgery.

ABSTRACT:

Background

Patients with acute type A aortic dissection with a previous cardiac surgery (PCS) and malperfusion syndrome (MPS) are extremely difficult to manage and have poor outcomes.

Methods

From 1996 to 2018, 668 patients underwent emergent open aortic repair or endovascular fenestration/stenting for MPS for an acute type A aortic dissection, including those with PCS (PCS, n = 64) and those without PCS (No-PCS, n = 604). The groups were further divided into PCS+MPS, PCS+No-MPS, No-PCS+MPS, and No-PCS+No-MPS.

Results

Compared with the No-PCS group, the PCS group had significantly more coronary artery disease, acute renal failure, and mesenteric and renal MPS. Forty-two percent of patients with PCS underwent upfront endovascular fenestration/stenting for endovascular-

SUBMITTER: Norton EL 

PROVIDER: S-EPMC7736272 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature