Mesenteric, coronary, and cerebral malperfusion are associated with the highest in-hospital mortality in acute type A aortic dissection, highlighting the need to consider organ-specific malperfusion in perioperative risk assessment.
Survival during hospital admission after acute type A aortic dissection can vary depending on the presence and type of malperfusion, with mesenteric, coronary and cerebral malperfusion being associated with the highest in-hospital mortality rates. Organ-specific malperfusion syndromes should be considered when assessing the perioperative risk and surgical planning of patients undergoing surgical repair for acute type A aortic dissection.
Chandiramani et al. (Mon,) studied this question.