Korean J Thorac Cardiovasc Surg.
2008 Feb;41(1):110-115.
Treatment of Malperfusion Caused by Acute Aortic Dissection
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Dankook University, Korea. pwseo@dankook.ac.kr
- 2Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University, Korea.
Abstract
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Malperfusion of a major organ with aortic dissection has various clinical features according to the involved aortic branch. The morbidity and mortality rate can increase without suspicion especially during the intraoperative and postoperative period. Surgical outcomes and prognosis are influenced by early detection and active treatment, and expeditious diagnostic and therapeutic measures are mandatory for successful treatment. The authors report four successful cases of acute aortic dissection with malperfusion of various organs, such as the brain, kidney, and the lower extremities.