Shah Vishal N, Java Amit P, Plestis Konstadinos A
Department of Surgery, Division of Cardiothoracic Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Department of Surgery, Division of Cardiothoracic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
J Card Surg. 2022 Dec;37(12):5509-5512. doi: 10.1111/jocs.17058. Epub 2022 Oct 19.
Acute type A aortic dissection with malperfusion syndrome is associated with high mortality. Despite having no consensus-based guidelines, we believe the "endovascular-first" approach should be undertaken. This report describes the successful management of iliofemoral and visceral malperfusion syndrome with endovascular revascularization followed by delayed proximal aortic repair after acute type A aortic dissection.
伴有灌注不良综合征的急性A型主动脉夹层与高死亡率相关。尽管尚无基于共识的指南,但我们认为应采取“血管腔内治疗优先”的方法。本报告描述了急性A型主动脉夹层后通过血管腔内血运重建成功治疗髂股和内脏灌注不良综合征,随后进行延迟性近端主动脉修复的情况。