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Survival after surgery for acute type A aortic dissection in octogenarians.
J Geriatr Cardiol
November 2024
Department of Cardiovascular Surgery, Centro Cardiologico Monzino IRCCS, Milan, Italy.
Objective: To evaluate the benefits of surgical repair acute type A aortic dissection (ATAAD) on survival of octogenarians.
Methods: Patients who underwent surgery for acute ATAAD from the multicenter European Registry of Type A Aortic Dissection (ERTAAD) were the subjects of the present analysis.
Results: 326 (8.
Aortic Dissection Complicated by Mesenteric Malperfusion Syndrome Presenting As Hepatic Ischemia: A Case Report and Literature Review.
Cureus
November 2024
Internal Medicine and Diabetes and Endocrinology, Barking, Havering and Redbridge National Health Service (NHS) Hospital Trust, London, GBR.
Aortic dissection (AD) is a medical emergency that occurs as a result of a compromise in the structural integrity of the aorta. If left untreated, AD can have severe consequences such as organ dysfunction or even death. Malperfusion syndrome is a major complication of aortic dissection with mesenteric malperfusion syndrome being a rare but devastating form that can lead to mesenteric ischemia and is associated with poor prognosis despite timely management.
View Article and Find Full Text PDFImpact of direct mesenteric perfusion on malperfusion in acute type A aortic dissection repair.
Eur J Cardiothorac Surg
December 2024
Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Objectives: Mesenteric malperfusion in acute aortic dissection remains a life-threatening complication with no standardized treatment strategy. This study aimed to describe and evaluate the outcomes of our integrated approach combining exploratory laparotomy, immediate mesenteric reperfusion, and central aortic repair.
Methods: We retrospectively reviewed patients with acute aortic dissection with a preoperative diagnosis of mesenteric malperfusion who were treated between August 2011 and November 2022.
Modern Open Surgery for Coral Reef Aorta with Visceral Artery Involvement.
Eur J Vasc Endovasc Surg
December 2024
Department of Vascular Surgery, University Hospital of Rangueil, Toulouse, France.
Objective: Coral reef atherosclerosis of the visceral aorta (CRA) is associated with renovascular hypertension (RVH), chronic mesenteric ischaemia (CMI), and malperfusion of the lower limbs (PAD). The outcomes of open surgery for this rare disease are described in this paper.
Methods: This retrospective study included all patients who underwent open surgical repair of CRA at a single high volume referral centre between January 2009 and June 2023.
Malperfusion, Malperfusion Syndrome, and Mesenteric Ischemia in Aortic Dissection.
Semin Thorac Cardiovasc Surg
December 2024
Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address:
Aortic malperfusion occurs in a significant percentage of patients with acute aortic dissection, and causes malperfusion syndrome, the clinical entity defined by end organ ischemia, in 10-33% of patients. Malperfusion syndrome can be rapidly lethal and can involve the coronary, cerebral, visceral, or lower extremity vessels. Depending on presentation, it may be appropriately and well treated with endovascular fenestration prior to definitive central aortic repair.
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