Management of Type A Aortic Dissection with Malperfusion Syndrome: A Case Report

被引:2
|
作者
Moroi, Morgan K. [1 ]
Hendriksen, Brandon S. [2 ]
Roberts, S. Michael [3 ]
Ramirez, Maria C. Castello [4 ,5 ]
Mandal, Kaushik [4 ,5 ]
机构
[1] Penn State Univ, Coll Med, Hershey, PA USA
[2] Penn State Univ, Coll Med, Dept Surg, Hershey, PA 17033 USA
[3] Penn State Univ, Coll Med, Dept Anesthesiol, Hershey, PA USA
[4] Penn State Univ, Coll Med, Div Heart, Dept Med, Hershey, PA USA
[5] Penn State Univ, Coll Med, Vasc Inst, Dept Med, Hershey, PA USA
关键词
type A; aortic dissection; malperfusion; ARCH REPLACEMENT;
D O I
10.1177/1556984520927490
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:379 / 381
页数:3
相关论文
共 50 条
  • [31] Successful management of iliofemoral and visceral malperfusion syndrome in acute type A aortic dissection with endovascular revascularization followed by delayed proximal aortic repair
    Shah, Vishal N.
    Java, Amit P.
    Plestis, Konstadinos A.
    JOURNAL OF CARDIAC SURGERY, 2022, 37 (12) : 5509 - 5512
  • [32] Malperfusion in acute type A aortic dissection: An update from the Nordic Consortium for Acute Type A Aortic Dissection
    Zindovic, Igor
    Gudbjartsson, Tomas
    Ahlsson, Anders
    Fuglsang, Simon
    Gunn, Jarmo
    Hansson, Emma C.
    Hjortdal, Vibeke
    Jarvela, Kati
    Jeppsson, Anders
    Mennander, Ari
    Olsson, Christian
    Pan, Emily
    Sjogren, Johan
    Wickbom, Anders
    Geirsson, Arnar
    Nozohoor, Shahab
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 157 (04): : 1324 - +
  • [33] A Case of Acute Aortic Dissection Complicated by Bowel Malperfusion
    Huang, Jing
    Khanna, Siya
    Macbarb, Max
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (08)
  • [34] Management of acute type B aortic dissection with malperfusion via endovascular fenestration/stenting
    Norton, Elizabeth L.
    Williams, David M.
    Kim, Karen M.
    Khaja, Minhaj S.
    Wu, Xiaoting
    Patel, Himanshu J.
    Deeb, G. Michael
    Yang, Bo
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2020, 160 (05): : 1151 - +
  • [35] Coronary Spasm due to Type A Aortic Dissection Complicated by Hemopericardium: A Case Report of Another Possible Cause of Coronary Malperfusion
    Chamnarnphol, Noppadol
    Cheewatanakornkul, Sirichai
    Wisaratapong, Treechada
    INTERNAL MEDICINE, 2010, 49 (09) : 829 - 831
  • [36] Aortic dissection with acute malperfusion syndrome: Endovascular fenestration via the funnel technique
    Vendrell, Anne
    Frandon, Julien
    Rodiere, Mathieu
    Chavanon, Olivier
    Baguet, Jean-Philippe
    Bricault, Ivan
    Boussat, Bastien
    Ferretti, Gilbert Raymond
    Thony, Frederic
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2015, 150 (01): : 108 - 115
  • [37] Experience in curing refractory gastrointestinal bleeding due to type A aortic dissection combined with mesenteric artery malperfusion: a case report
    Ren, Yan
    Zhang, Jian
    Zhou, Hao
    Xiong, Wei
    Shi, Wei
    Luo, Mingxian
    Wei, Yating
    Liu, Daxing
    ANNALS OF PALLIATIVE MEDICINE, 2021, 10 (09) : 10102 - 10107
  • [38] Immediate operation for acute type A aortic dissection complicated by visceral or peripheral malperfusion
    Chiu, Peter
    Tsou, Sarah
    Goldstone, Andrew B.
    Louie, Mikaela
    Woo, Y. Joseph
    Fischbein, Michael P.
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2018, 156 (01): : 18 - +
  • [39] Lower-extremity malperfusion syndrome in patients undergoing proximal aortic surgery for acute type A aortic dissection
    Hasan, Irsa
    Brown, James A.
    Serna-Gallegos, Derek
    Zhu, Jianhui
    Garvey, Joseph
    Yousef, Sarah
    Sultan, Ibrahim
    JTCVS OPEN, 2023, 15 : 1 - 13
  • [40] Surgical Treatment of Coronary Malperfusion with Acute Type A Aortic Dissection
    Tang Yang-Feng
    Zhang Guan-Xin
    Liao Zi-Lin
    Han Lin
    Xu Zhi-Yun
    中华医学杂志英文版, 2016, 129 (08) : 1000 - 1002