A staged approach utilizing endovascular thoracoabdominal aortic repair prior to ascending repair was used to manage a subacute Type A dissection with multiple malperfusion syndromes.
Case Report (n=1)
Demonstrates the feasibility of a staged approach prioritizing endovascular repair of malperfusion before ascending repair in complex Type A aortic dissection.
Acute Type A dissection is a surgical emergency. The presence of visceral and extremity malperfusion syndromes increases perioperative mortality twofold. On occasion, significant malperfusion may best be addressed in a staged fashion with preliminary attention to specific vascular beds with delayed repair of the dissection itself. We present a subacute Type A dissection associated with malperfusion of multiple vascular beds (mesenteric, renal, and iliofemoral) managed with a complication-specific approach utilizing endovascular thoracoabdominal aortic repair prior to ascending repair.
Parsa et al. (Wed,) conducted a case report in Subacute Type A dissection with malperfusion of multiple vascular beds (n=1). Endovascular thoracoabdominal aortic repair prior to ascending repair was evaluated. A staged approach utilizing endovascular thoracoabdominal aortic repair prior to ascending repair was used to manage a subacute Type A dissection with multiple malperfusion syndromes.