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General Thoracic and Cardiovascular Surgery

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01-07-2014 | Current Topics Review Article

Clinical dilemma in the surgical treatment of organ malperfusion caused by acute type A aortic dissection

Authors: Takeshi Shimamoto, Tatsuhiko Komiya

Published in: General Thoracic and Cardiovascular Surgery | Issue 7/2014

Abstract

The malperfusion syndrome associated with acute aortic dissection draws attention because the clinical picture is very dramatic, and patients with malperfusion have poorer clinical outcomes. To improve surgical outcomes, the ischemic damages associated with organ malperfusion should be minimized by restoring perfusion as early as possible, which occasionally can hardly coexist with central repair. This paper reviews the current evidence, problems, and dilemma related to the diagnosis and treatment of the malperfusion syndrome caused by acute type A aortic dissection.

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Title: Clinical dilemma in the surgical treatment of organ malperfusion caused by acute type A aortic dissection
Authors: Takeshi Shimamoto
Tatsuhiko Komiya
Publication date: 01-07-2014
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 7/2014
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-014-0406-x

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Clinical dilemma in the surgical treatment of organ malperfusion caused by acute type A aortic dissection

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