Why the study?
Malperfusion occurs in up to 40% of acute type A aortic dissections and increases morbidity and mortality, but the ideal management strategy has yet to be determined.
What are the optimal management strategies, such as initial reperfusion and delayed central aortic repair, to reduce mortality in patients with acute type A aortic dissection complicated by malperfusion?
What are the optimal management strategies, such as initial reperfusion and delayed central aortic repair, to reduce mortality in patients with acute type A aortic dissection complicated by malperfusion?
Initial reperfusion followed by delayed central aortic repair may reduce mortality in patients with acute type A aortic dissection complicated by malperfusion, though optimal management remains debated.
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Supports initial reperfusion before delayed repair in malperfusion ATAAD; leaves optimal strategy open for prospective trials.
Norton et al. (2019) studied this question.
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