January 28, 2010Journal of Cardiothoracic SurgeryOpen Access

Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels

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Population

1 patient with complex acute type A dissection with mesenteric and lower limb ischemia

Design

Case_report

Authors

ASAmna SulimanMinistry of Health MDMichael DialynasSt Thomas' Hospital HAHutan AshrafianCardiac Surgery

Discussion

Member takes

Implication

Lactate-guided staged repair may be feasible in complex type A dissection with malperfusion; hypothesis-generating and requires prospective validation.

Structured PICO

Population

1 patient with complex acute type A dissection with mesenteric and lower limb ischemia

Intervention

Endovascular thoracic stenting and femoro-femoral crossover bypass grafting followed by aortic arch repair, using a staged therapeutic approach guided by serial lactate measurements

Outcome

Successful management

A staged therapeutic approach guided by serial lactate measurements can be successfully used to manage complex acute type A dissection with peripheral malperfusion.

Cite This Study

Suliman et al. (2010) studied this question.

synapsesocial.com/papers/6a868acb7aa83aa0d2942f73 https://doi.org/10.1186/1749-8090-5-4

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Implication

Lactate-guided staged repair may be feasible in complex type A dissection with malperfusion; hypothesis-generating and requires prospective validation.

Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider