A型主动脉夹层合并灌注不良综合征。
Type A aortic dissection complicated by malperfusion syndrome.
机构信息
Creighton University School of Medicine, Omaha, Nebraska.
Department of Radiology.
出版信息
Curr Opin Cardiol. 2019 Nov;34(6):610-615. doi: 10.1097/HCO.0000000000000667.
Abstract
PURPOSE OF REVIEW
Malperfusion is present in up to 40% of acute type A aortic dissections (ATAADs) and results in increased morbidity and mortality. This review presents different management strategies in patients with ATAAD and malperfusion to improve outcomes.
RECENT FINDINGS
While the ideal management strategy of ATAAD complicated by malperfusion has yet to be determined, the literature provides evidence for additional techniques to be used in conjunction with central aortic repair to reduce mortality.
SUMMARY
Recent findings support a role for initial reperfusion and delayed central aortic repair, although optimal management strategy remains debated.
摘要
目的综述
高达 40%的急性 A 型主动脉夹层（ATAAD）患者存在灌注不良，导致发病率和死亡率增加。本综述介绍了 ATAAD 合并灌注不良患者的不同管理策略，以改善预后。
最新发现
尽管尚未确定 ATAAD 合并灌注不良的理想管理策略，但文献提供了证据，支持在中央主动脉修复的同时使用额外的技术来降低死亡率。
总结
虽然最佳的管理策略仍有争议，但最近的发现支持初始再灌注和延迟的中央主动脉修复的作用。
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