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Indian Journal of Thoracic and Cardiovascular Surgery
Published in: Indian Journal of Thoracic and Cardiovascular Surgery 1/2022

01-04-2022 | Aortic Dissection | Review Article

Malperfusion in acute type A aortic dissection: how we handle the challenge?

Authors: Paneer Selvam Krishna Moorthy, Abdul Samad Sakijan

Published in: Indian Journal of Thoracic and Cardiovascular Surgery | Special Issue 1/2022

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Abstract

Malperfusion syndrome (MPS) complicating acute type A aortic dissection (ATAAD) poses a continuing challenge and management dilemma for cardiovascular surgeons. MPS may involve any of the major arterial side branches resulting in myocardial, cerebral, spinal cord, visceral, and/or limb ischemia with varying frequency and severity. Despite the continuous improvement in diagnosis and management strategies for MPS with ATAAD, clinical outcomes remain poor and the optimal therapy is still debatable. The present review aimed to assess current evidence on ATAAD patients with MPS and how best to handle the challenge.
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Metadata
Title
Malperfusion in acute type A aortic dissection: how we handle the challenge?
Authors
Paneer Selvam Krishna Moorthy
Abdul Samad Sakijan
Publication date
01-04-2022
Publisher
Springer Singapore
Published in
Indian Journal of Thoracic and Cardiovascular Surgery / Issue Special Issue 1/2022
Print ISSN: 0970-9134
Electronic ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-021-01292-0

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