Organ malperfusion in acute aortic dissection

Abstract

Organ malperfusion is a major component in the management and treatment of acute aortic dissection. Only an appropriate strategy and therapy could result in a satisfactory outcome.

Impact of Organ Malperfusion on Mortality and Morbidity in Acute Type A Aortic Dissections

“…If ostial lesion not seems repairable, we prefer coronary artery bypass grafting. Toda and Moriyama et al advocated that the modified Cabrol technique has the superiority in grafting for a fragile and/or dissected coronary ostia compared with the Bentall procedure 10 . In our series Cabrol technique was used in only one patient.…”

“…Toda and Moriyama et al advocated that the modified Cabrol technique has the superiority in grafting for a fragile and/or dissected coronary ostia compared with the Bentall procedure. 10 In our series Cabrol technique was used in only one patient. We think that the button modification of the Bentall procedure is the most versatile and durable reconstruction for total root replacement like the others.…”

2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease

“…Malperfusion of the gut, spinal cord, kidneys, and lower extremities doubles the mortality of AoD (247,826). New treatment strategies for malperfusion and reperfusion injury are needed to improve the dismal prognosis of patients with acute dissection and malperfusion syndromes.…”

Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection

“…1 Despite the success of medical therapy, some authors advocate early carotid revascularization in cases of aortic origin CCAD before aortic repair and before a trial of medical therapy. [2][3][4][5][6][7] This presupposes that aortic origin CCAD is a risk for postoperative neurologic events and that preemptive repair mitigates such risk. Recent reports involve carotid artery angioplasty and stenting (CAS), either during open aortic repair 6 or soon thereafter.…”