8082 The Pennsylvania State University, College of Medicine, Hershey, USA.
Department of Surgery, The Pennsylvania State University, College of Medicine, Hershey, USA.
Innovations (Phila). 2020 Jul/Aug;15(4):379-381. doi: 10.1177/1556984520927490. Epub 2020 Jul 5.
Acute type A aortic dissection (TAAD) with malperfusion syndrome remains a challenging diagnosis and optimal surgical management remains unsettled. We present a case and surgical approach employed for a patient with TAAD and malperfusion syndrome who presented with pulseless bilaterally extremities. Satisfactory outcomes can be achieved with early multidisciplinary collaboration and urgent repair of the aorta and simultaneous efforts to restore blood flow to ischemic tissue.
急性A型主动脉夹层（TAAD）合并灌注不良综合征仍然是一个具有挑战性的诊断，其最佳手术治疗方法仍未确定。我们报告了一例 TAAD 合并灌注不良综合征患者的病例和手术方法，该患者表现为双侧肢体无脉。通过早期多学科协作、紧急修复主动脉和同时努力恢复缺血组织的血流，可以实现满意的结果。
