Advances in acute Stanford type A aortic dissection with organ malperfusion_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Bowen , DUN Yaojun , LIU Yanxiang , GAO Haoyu , REN Jie , WANG Luchen , ZHOU Sangyu , XIE Mingxin ,  SUN Xiaogang

Vascular Surgery Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P. R. China;

Corresponding author：

SUN Xiaogang, Email: xiaogangsunl@163.com

Keywords：

Acute Stanford type A aortic dissection; surgical treatment; malperfusion; review

DOI：

10.7507/1007-4848.202211049

Video：

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The treatment of acute Stanford type A aortic dissection has always been extremely challenging. Organ malperfusion syndrome is a common severe complication of acute aortic dissection, which can cause organ ischemia and internal environment disorder. Malperfusion increases early mortality, and impacts the long-term prognosis. In recent years, many scholars have done some studies on aortic dissection complicated with malperfusion. They explored the pathogenesis, proposed new classification, and innovated new treatment strategies. However, at present, the treatment strategies of acute Stanford type A aortic dissection complicated with organ malperfusion are different at different centers and consensus on its treatment is still lacking. Therefore, this review summarized the pathogenesis, classification, treatment strategy, and prognosis of acute Stanford type A aortic dissection complicated with malperfusion.

Citation： ZHANG Bowen, DUN Yaojun, LIU Yanxiang, GAO Haoyu, REN Jie, WANG Luchen, ZHOU Sangyu, XIE Mingxin, SUN Xiaogang. Advances in acute Stanford type A aortic dissection with organ malperfusion. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(8): 1235-1241. doi: 10.7507/1007-4848.202211049 Copy

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4.
5.
6.
7.
8.
9.
10.
11.
12.
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28. Di Eusanio M, Patel HJ, Nienaber CA, et al. Patients with type A acute aortic dissection presenting with major brain injury: Should we operate on them? J Thorac Cardiovasc Surg, 2013, 145(3 Suppl): S213-S221.
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