Surgical management and outcomes in patients with acute type A aortic dissection and cerebral malperfusion.

ABSTRACT:

Objective

The study objective was to evaluate the surgical results in patients with acute type A aortic dissection and cerebral malperfusion.

Methods

From 2000 to 2019, 234 patients with type A aortic dissection and cerebral malperfusion were stratified into 3 groups: 50 (21%) with syncope (group 1), 152 (65%) with persistent loss of focal neurological function (group 2), and 32 (14%) with coma (group 3). Results were evaluated and compared by univariable and multivariable analyses.

Results

Median age was higher in group 1, and incidence of cardiogenic shock was higher in group 3. The femoral artery was the most common cannulation site, whereas the axillary artery was used in 18% of group 1, 30% of group 2, and 25% of group 3 patients (P = .337). Antegrade cere

SUBMITTER: Vendramin I 

PROVIDER: S-EPMC9390217 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature