Key result
Prompt management and minimizing times between symptom onset, diagnosis, and surgery are crucial in acute type A aortic dissection, with timing tailored to patient presentation and malperfusion status.
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Emphasizes the critical need to minimize delays in the surgical repair of acute type A aortic dissection while tailoring timing to the presence of organ malperfusion.
Acute type A aortic dissection is a life-threatening event that requires prompt management, a complex interaction among the timing of aortic surgical repair, presence or absence of organ malperfusion, and surgical outcomes exists. Whether resection of intimal entry tear should be deferred after reversal of malperfusion and end-organ ischemia is a matter of controversy. In fact, the timing of aortic repair should be considered within the clinical presentation and baseline characteristics of each patient. Moreover, every effort should be made to minimize times between symptom onset, diagnosis, and surgery.
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Dimagli et al. (2022) conducted an editorial in Acute type A aortic dissection. Timeliness of surgical repair was evaluated. Prompt management and minimizing times between symptom onset, diagnosis, and surgery are crucial in acute type A aortic dissection, with timing tailored to patient presentation and malperfusion status.
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