Key result
Controlled delayed surgery successfully treats a patient with acute aortic syndrome and multiorgan failure.
Why the study?
The timing of surgical therapy in acute aortic syndromes complicated by severe organ damage and multiorgan failure is uncertain, with potential benefits of delayed surgery in selected cases.
Does controlled delayed surgical treatment improve prognosis in a patient with acute aortic syndrome and multiorgan failure?
Case Report (n=1)
Does controlled delayed surgical treatment improve prognosis in a patient with acute aortic syndrome and multiorgan failure?
Controlled delayed surgical treatment may be a viable option in selected cases of acute aortic syndrome complicated by multiorgan failure to allow recovery from severe organ damage before definitive surgery.
Supports delayed surgery feasibility in select acute aortic syndrome with multiorgan failure; leaves open need for prospective validation.
The factor time plays an important role in diagnosis and treatment of acute aortic syndromes, not only as a short interval between diagnosis and surgical therapy, but also as a delay of definitive therapy in the selected cases. Severe organ damage caused by malperfusion or other mechanisms can be overcome by a surgical delay, improving prognosis. We report a successful attempt of a controlled delayed surgical treatment in a patient with an acute aortic syndrome complicated from multiorgan failure.
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Tsagakis et al. (2015) conducted a case report in Acute aortic syndrome complicated by multiorgan failure (n=1). Controlled delayed surgical treatment was evaluated on Successful surgical treatment. Controlled delayed surgical treatment was successfully performed in a patient with an acute aortic syndrome complicated by multiorgan failure.
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