Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels.

Journal of Cardiothoracic Surgery
Amna SulimanThanos Athanasiou

Abstract

Acute type A aortic dissection can be complicated by visceral malperfusion and is associated with a significant surgical morbidity and mortality. We describe a case of successful management of a complex acute type A dissection with mesenteric and lower limb ischemia treated with endovascular thoracic stenting and femoro-femoral crossover bypass grafting followed by aortic arch repair. To accomplish this, we applied a staged therapeutic approach using serial lactate measurements to assess the adequacy of peripheral perfusion and metabolic status prior to surgical repair of the proximal dissection.

References

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Citations

Dec 18, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroshi NagamineYushi Kawase
Jan 17, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Evaldas Girdauskas
Apr 29, 2014·General Thoracic and Cardiovascular Surgery·Takeshi Shimamoto, Tatsuhiko Komiya
Nov 26, 2015·The Canadian Journal of Cardiology·Ismail El-HamamsyUNKNOWN Canadian Thoracic Aortic Collaborative (CTAC)
Oct 1, 2015·Annals of Vascular Diseases·Akimasa MorisakiToshihiko Shibata
Jun 20, 2015·Journal of the American College of Cardiology·Martin CzernyThierry P Carrel
Jan 22, 2013·Journal of Vascular Surgery·Kristofer M Charlton-OuwAnthony L Estrera
Jan 1, 2012·Annals of Vascular Diseases·Kazumasa Orihashi

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Methods Mentioned

BETA
dissection
dissections

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