Mesenteric Malperfusion: The Insidious, Dreadful Enemy

Akiko Tanaka; Anthony L Estrera

doi:10.1053/j.semtcvs.2017.02.009

Mesenteric Malperfusion: The Insidious, Dreadful Enemy

Semin Thorac Cardiovasc Surg. 2017 Summer;29(2):179-180. doi: 10.1053/j.semtcvs.2017.02.009. Epub 2017 Feb 27.

Authors

Akiko Tanaka¹, Anthony L Estrera²

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston and Memorial Hermann Hospital, Houston, Texas.
² Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston and Memorial Hermann Hospital, Houston, Texas. Electronic address: Anthony.L.Estrera@uth.tmc.edu.

PMID: 28823324
DOI: 10.1053/j.semtcvs.2017.02.009

Abstract

Mesenteric malperfusion is associated with a poor prognosis. Stent grafting to treat acute type B dissection with malperfusion has been widely accepted. The standard approach for acute type A dissection is central repair. However, mesenteric ischemia may continue to deteriorate. Can an algorithm with fenestration first approach improve the outcomes?

Publication types

Editorial
Comment

MeSH terms

Acute Disease
Aortic Aneurysm
Aortic Dissection*
Humans
Ischemia*
Stents
Treatment Outcome