Display options
Cite
Berretta P, Trimarchi S, Patel HJ, et al. Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD. J Vis Surg. 2018;4:65doi: 10.21037/jovs.2018.03.13.
Berretta, P., Trimarchi, S., Patel, H. J., Gleason, T. G., Eagle, K. A., & Di Eusanio, M. (2018). Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD. Journal of visualized surgery, 465. https://doi.org/10.21037/jovs.2018.03.13
Berretta, Paolo, et al. "Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD." Journal of visualized surgery vol. 4 (2018): 65. doi: https://doi.org/10.21037/jovs.2018.03.13
Berretta P, Trimarchi S, Patel HJ, Gleason TG, Eagle KA, Di Eusanio M. Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD. J Vis Surg. 2018 Mar 31;4:65. doi: 10.21037/jovs.2018.03.13. eCollection 2018. PMID: 29682475; PMCID: PMC5897661.
Copy Download .nbib Format: NLM
Share it on

J Vis Surg. 2018 Mar 31;4:65. doi: 10.21037/jovs.2018.03.13. eCollection 2018.

Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD.

Journal of visualized surgery

Paolo Berretta, Santi Trimarchi, Himanshu J Patel, Thomas G Gleason, Kim A Eagle, Marco Di Eusanio

Affiliations

  1. Cardiac Surgery Unit, Ospedali Riuniti, Polytechnic University of Marche, Ancona, Italy.
  2. Thoracic Aortic Research Center, IRCCS Policlinico San Donato, San Donato, Italy.
  3. Department of Cardiac Surgery, University of Michigan Health System, Ann Arbor, USA.
  4. Division of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, USA.
  5. Cardiovascular Center, University of Michigan Health System, Ann Arbor, USA.

PMID: 29682475 PMCID: PMC5897661 DOI: 10.21037/jovs.2018.03.13

Abstract

Patients presenting with type A acute aortic dissection (TAAD) complicated by malperfusion syndromes represent one of the highest surgical risk cohorts for cardiovascular surgeons. In the setting of aortic dissection, end-organ ischemia may involve any of the major arterial side branches resulting in myocardial, cerebral, spinal cord, visceral and/or limb ischemia. In TAAD patients with malperfusion, notwithstanding continuous improvement in diagnostic and management strategies, surgical and clinical outcomes remain poor and the optimal therapy is controversial. The present review aimed to assess current evidence on TAAD patients with the complication of malperfusion, as enunciated by the International Registry of Acute Aortic Dissection (IRAD) investigators.

Keywords: Aortic dissection; International Registry of Acute Aortic Dissection (IRAD); aortic surgery; malperfusion syndrome

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

References

  1. Ann Thorac Surg. 2005 Jul;80(1):72-6 - PubMed
  2. J Thorac Cardiovasc Surg. 2013 Feb;145(2):385-390.e1 - PubMed
  3. JAMA. 2000 Feb 16;283(7):897-903 - PubMed
  4. Eur J Cardiothorac Surg. 2007 Aug;32(2):255-62 - PubMed
  5. Interact Cardiovasc Thorac Surg. 2006 Apr;5(2):187-90 - PubMed
  6. Circulation. 2002 Jan 15;105(2):200-6 - PubMed
  7. J Am Coll Cardiol. 2015 Jun 23;65(24):2628-2635 - PubMed
  8. Eur J Cardiothorac Surg. 2013 Feb;43(2):397-404 - PubMed
  9. Am J Cardiol. 2007 Mar 15;99(6):852-6 - PubMed
  10. Am J Cardiol. 2005 Jan 1;95(1):48-52 - PubMed
  11. Interact Cardiovasc Thorac Surg. 2014 Aug;19(2):290-4 - PubMed
  12. Interact Cardiovasc Thorac Surg. 2015 Sep;21(3):346-51 - PubMed
  13. J Thorac Cardiovasc Surg. 2006 Dec;132(6):1404-8 - PubMed
  14. J Thorac Cardiovasc Surg. 2001 Mar;121(3):552-60 - PubMed
  15. Eur J Cardiothorac Surg. 2013 Apr;43(4):820-6 - PubMed
  16. J Am Coll Cardiol. 2011 Dec 6;58(24):2455-74 - PubMed
  17. J Thorac Cardiovasc Surg. 2010 Dec;140(6 Suppl):S98-S100; discussion S142-S146 - PubMed
  18. Ann Thorac Surg. 2007 Jan;83(1):55-61 - PubMed
  19. Am J Cardiol. 2008 Nov 15;102(10):1399-406 - PubMed
  20. J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S213-21.e1 - PubMed
  21. Am J Surg. 1996 Apr;171(4):405-8 - PubMed
  22. Eur J Cardiothorac Surg. 2013 Sep;44(3):419-24; discussion 424-5 - PubMed
  23. Am J Cardiol. 2002 Apr 1;89(7):851-5 - PubMed
  24. J Thorac Cardiovasc Surg. 2017 Jul;154(1):81-86 - PubMed
  25. Circulation. 2010 Apr 6;121(13):e266-369 - PubMed
  26. Circulation. 2009 May 26;119(20):2702-7 - PubMed
  27. Circulation. 2011 Nov 1;124(18):1911-8 - PubMed
  28. Circulation. 2011 May 24;123(20):2213-8 - PubMed
  29. Circulation. 2011 Sep 13;124(11 Suppl):S163-7 - PubMed
  30. J Thorac Cardiovasc Surg. 2011 Dec;142(6):1540-4 - PubMed
  31. J Thorac Cardiovasc Surg. 2005 Jan;129(1):112-22 - PubMed
  32. J Thorac Cardiovasc Surg. 2009 Dec;138(6):1363-9 - PubMed
  33. Semin Vasc Surg. 2002 Jun;15(2):75-82 - PubMed

Publication Types