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Open Access 01-12-2010 | Case report

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

Authors: Amna Suliman, Michael Dialynas, Hutan Ashrafian, Colin Bicknell, Maziar Mireskandari, Mohamad Hamady, Thanos Athanasiou

Published in: Journal of Cardiothoracic Surgery | Issue 1/2010

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.

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Title: Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels
Authors: Amna Suliman
Michael Dialynas
Hutan Ashrafian
Colin Bicknell
Maziar Mireskandari
Mohamad Hamady
Thanos Athanasiou
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2010
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/1749-8090-5-4

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

Abstract

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Abstract

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