Key result
Open aortic fenestration successfully resolved visceral and spinal cord ischemia by improving true lumen width and false lumen blood flow in a patient with acute type A aortic dissection.
Case Report (n=1)
No
Surgical fenestration may be a useful and effective treatment option for acute type A aortic dissection presenting with multiple malperfusion syndromes, including paraplegia, when the ascending aorta can be managed conservatively.
May support fenestration for malperfusion in select type A dissections; leaves open its role versus standard repair.
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Suzuki et al. (2021) conducted a case report in Acute type A aortic dissection with visceral, lower leg, and spinal cord ischemia (n=1). Open aortic fenestration was evaluated on Resolution of clinical symptoms and malperfusion. Open aortic fenestration successfully resolved visceral and spinal cord ischemia by improving true lumen width and false lumen blood flow in a patient with acute type A aortic dissection.
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