Why the study?
In patients with acute type A aortic dissections with mesenteric malperfusion, does management of the malperfusion prior to central aortic repair reduce perioperative mortality?
In patients with acute type A aortic dissections with mesenteric malperfusion, does management of the malperfusion prior to central aortic repair reduce perioperative mortality?
In acute type A aortic dissection with mesenteric malperfusion, percutaneous reversal of malperfusion prior to delayed central aortic repair may improve the extremely poor prognosis associated with immediate surgery.
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Supports staged percutaneous malperfusion reversal before delayed repair in type A dissection with mesenteric ischemia; extends observational data against immediate central repair.
Perera et al. (2014) studied this question.
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