Mesenteric Malperfusion Syndromes in Type A Aortic Dissection: Current Management Strategies

Abstract

Acute type A aortic dissection is a surgical emergency associated with high mortality and morbidity. When complicated with mesenteric malperfusion, its management carries a very high mortality. Many innovations in the field of vascular and cardiothoracic surgery in the last two decades have been tried in the continuous efforts to improve on the surgical outcomes. Although some reports have documented better mortality rates with reperfusion-first strategies, there is still room for improvement in the absence of a general consensus on its management.

Keywords: TEVAR; fenestration; malperfusion; surgery; thoracic endovascular aortic repair; type A dissection.