Key result
Controlled delay of thoracic aortic surgical repair after visceral flow restitution was successfully performed with stable hemodynamics in acute type A aortic dissection.
Why the study?
Does controlled delay of thoracic aortic surgical repair after visceral flow restitution improve outcomes in acute type A aortic dissection with total visceral malperfusion?
Case Report
Does controlled delay of thoracic aortic surgical repair after visceral flow restitution improve outcomes in acute type A aortic dissection with total visceral malperfusion?
Controlled delay of surgical repair after interventional visceral flow restitution may be a viable strategy for acute type A aortic dissection complicated by total visceral malperfusion.
May support delayed repair after visceral restitution in select cases; leaves open whether this improves outcomes in acute type A dissection.
Despite immediate surgical repair of the entry site in acute thoracic aortic dissection with visceral malperfusion, the results are poor. Primary restitution of visceral flow by intervention might be one way to cope with this problem, but probably causes ischemia/reperfusion associated problems after prolonged complete visceral ischemia. In this report, we demonstrate a successful attempt of controlled delay of thoracic aortic surgical repair after visceral flow restitution with stable hemodynamics.
No takes yet. Share an insight, caveat, or question.
Tsagakis et al. (2008) conducted a case report in Acute Type A Aortic Dissection with Total Visceral Malperfusion. Controlled delay of thoracic aortic surgical repair after visceral flow restitution was evaluated. Controlled delay of thoracic aortic surgical repair after visceral flow restitution was successfully performed with stable hemodynamics in acute type A aortic dissection.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: